DR. STEPHEN STRATFORD PHELAN (NPI# 1932195674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932195674 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN STRATFORD PHELAN |
| Credential | DMD |
| Practice Address |
1554 E Trinity Blvd Montgomery AL 36106-3609 |
| Practice Telephone | 3342772100 |
| Practice Fax Number | 3342772101 |
| Mailing Telephone | 3342772100 |
| Mailing Fax Number | 3342772101 |
| Enumeration Date | 2005-09-27 |
| Last Update Date | 2013-08-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
2873 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508924903 | Stephen Todd Phelan | Dentist | 2102 W Pleasant Grove Rd, Suite 1, Rogers, AR 72758-8242 | 2006-12-05 |
| 1326142332 | Stephen Joseph Phelan | Internal Medicine | 91 Voluntown Rd, Pawcatuck, CT 06379-1366 | 2006-09-11 |
| Street Address |
1554 E TRINITY BLVD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-3609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770902850 | Trammell Periodontics LLC | Clinic/Center | 1554 E Trinity Blvd, Montgomery, AL 36106-3609 | 2014-04-15 |
| 1720411143 | Dr Stephen S Phelan Dmd Pa | Dentist | 1554 E Trinity Blvd, Montgomery, AL 36106-3609 | 2013-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427097559 | Steve Davis | Dentist | 4736 Berry Blvd, Montgomery, AL 36106-3080 | 2006-06-05 |
| 1578800033 | Leonard Wayne Yarbrough | Dentist | 1220 Carmichael Way, Montgomery, AL 36106-3671 | 2013-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508489709 | Kevin M. Sims, Dmd, Ms, PC | Dentist | 2074 Valleydale Rd, Hoover, AL 35244-2084 | 2020-05-21 |
| 1619599297 | Alabama Dental Specialist LLC | Dentist | 4501 Southlake Pkwy Ste 201, Hoover, AL 35244-3644 | 2020-05-18 |
| 1467964544 | Jamie Hargett Howard | Dentist | 418 School of Dentistry Building, 1919 7th Ave S, Birmingham, AL 35233 | 2017-10-30 |
| 1770028532 | George Britt | Dentist | 5104 Cyrus Cir, Birmingham, AL 35242-4630 | 2017-01-03 |
| 1407043797 | Jack Holmes Reid Jr. | Dentist | 911 Plantation Blvd, Fairhope, AL 36532-2949 | 2007-10-01 |
| 1568660231 | Scott Edmund Atkinson | Dentist | 621 Helen Keller Blvd Ste 200, Tuscaloosa, AL 35404-2962 | 2007-07-04 |
| 1396947818 | Maria L Geisinger | Dentist | 121 Peachtree Rd, Birmingham, AL 35213-2930 | 2007-06-05 |
| 1790812030 | John M. Lane | Dentist | 1912 Bruin Dr, Florence, AL 35630-6769 | 2007-02-27 |
| 1134280712 | Brett Maddux | Dentist | 3240 Edwards Lake Pkwy Ste 200, Birmingham, AL 35235-3128 | 2006-12-13 |
| 1154489409 | George N Britt Dmd Pa | Dentist | 5104 Cyrus Circle, Birmingham, AL 35242 | 2006-12-05 |
| Find all providers with the same taxonomy | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.