DENTAL ASSOCIATES OF TUSCALOOSA LLC (NPI# 1942394820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942394820 |
| Entity Type | Organization |
| Organization Name | DENTAL ASSOCIATES OF TUSCALOOSA LLC |
| Practice Address |
217 Mcfarland Circle North Tuscaloosa AL 34506 |
| Practice Telephone | 2053457755 |
| Practice Fax Number | 2053439075 |
| Mailing Telephone | 2053457755 |
| Mailing Fax Number | 2053439075 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JERRY ANDREW FIKES (OWNER DENTIST) |
| Authorized Official Telephone | 2053457755 |
| Authorized Official Credential | DMD MAGD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 122300000X | Dentist | 3162 | AL | Dental Providers |
| X | 122300000X | Dentist | 5177 | AL | Dental Providers |
| X | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 51526480 | 01 |
| AL | BLUE CROSS BLUE SHIELD | 51506076 | 01 |
| Street Address |
217 MCFARLAND CIRCLE NORTH |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 34506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063592525 | Jerry Andrew Fikes | Dentist | 217 Mcfarland Circle North, Tuscaloosa, AL 35406 | 2006-10-17 |
| 1083794549 | Lloyd William Wagner IIi | Dentist | 217 Mcfarland Circle North, Tuscaloosa, AL 35406 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627203 | Gabrielle Franklin | Social Worker | 5501 Old Montgomery Hwy Apt 7423, Tuscaloosa, AL 35405-5067 | 2020-10-20 |
| 1063010270 | Jane Ferguson | Specialist/Technologist | 3831 3rd Ave, Apt 31, Tuscaloosa, AL 35405 | 2020-10-12 |
| 1487252771 | Changing Seasons Therapy and Consulting, Pllc | Social Worker | 1105 Southview Lane Ste 103 #2, Tuscaloosa, AL 35405 | 2020-10-09 |
| 1952917551 | Jenkins-richardson & Associates | Counselor | 1105 Southview Ln Ste 103, Tuscaloosa, AL 35405-6391 | 2020-09-18 |
| 1346855962 | Milton Watkins | Occupational Therapist | 5381 Courtney Ave, Tuscaloosa, AL 35406-2874 | 2020-09-10 |
| 1104430206 | Nalf Tuscaloosa, LLC | Assisted Living Facility | 5810 Rice Mine Rd Ne, Tuscaloosa, AL 35406-3260 | 2020-09-04 |
| 1760096010 | Aiden Ifrit Caraway | Massage Therapist | 1712 1/2 10th St E, Tuscaloosa, AL 35404-2904 | 2020-09-03 |
| 1013520204 | Tricia Witte | Psychologist | 4405 Woodland Hills Dr, Tuscaloosa, AL 35405-5420 | 2020-08-26 |
| 1619589603 | New Vision Counseling, Inc | Counselor | 1470 N Bank Pkwy Ste 166, Tuscaloosa, AL 35406-2448 | 2020-08-20 |
| 1174134035 | Therapy With Robin | Marriage & Family Therapist | 2618 8th St Ste 14, Tuscaloosa, AL 35401-2104 | 2020-08-13 |
| Find all providers in TUSCALOOSA | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538401385 | Rodney L Goins | Dentist | 1434 2nd Ct E, Tuscaloosa, AL 35401-3200 | 2013-03-20 |
| 1659628535 | John Lee Fleming | Dentist | 1736 Teal Cir, Tuscaloosa, AL 35405-6761 | 2012-08-09 |
| 1295090033 | Affordable Dentures- Tuscaloosa, P.C. | Dentist | 1516 Skyland Blvd E, Tuscaloosa, AL 35405-4232 | 2012-07-09 |
| 1922219286 | Eason Kavanaugh Wood | Dentist | 500 B 15th St East, Tuscaloosa, AL 35401 | 2007-05-25 |
| 1083788384 | David Grant Skalnik | Dentist | 6525 Old Greensboro Rd, Tuscaloosa, AL 35405-5993 | 2006-11-20 |
| 1760551378 | Maxwell Moody IIi | Dentist | 400 E Hargrove Rd, Tuscaloosa, AL 35401-5032 | 2006-11-07 |
| 1730266628 | Thomas R Nelson | Dentist | 149 Skyland Blvd, Tuscaloosa, AL 35405-4014 | 2006-11-01 |
| 1215021902 | Patrick Lee Davis | Dentist | 1701 Mcfarland Blvd #122, Tuscaloosa, AL 35404 | 2006-10-03 |
| 1588765887 | Willis J. Meriwether, Dmd, PC | Dentist | 600 A University Blvd East, Tuscaloosa, AL 35401 | 2006-09-26 |
| 1205942935 | Rodney L Goins Dmd | Dentist | 1434 2nd Court East, Tuscaloosa, AL 35401 | 2006-08-23 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 34506 |
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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.