SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC. (NPI# 1942614417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942614417 |
| Entity Type | Organization |
| Organization Name | SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC. |
| Practice Address |
3439 Mcgehee Rd Montgomery AL 36111-3392 |
| Mailing Address |
230 E 10th St Ste 106 Anniston AL 36207-5771 |
| Practice Telephone | 3342881868 |
| Practice Fax Number | 3342881825 |
| Mailing Telephone | 2567417340 |
| Mailing Fax Number | 2567417373 |
| Enumeration Date | 2014-06-12 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | TODD CRUSE (PRESIDENT) |
| Authorized Official Telephone | 6299995006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 161491 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013304310 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 805 N Mckenzie St, Suite C, Foley, AL 36535-3544 | 2015-04-24 |
| 1417240482 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 1013 Medical Center Pkwy Ste 103, Selma, AL 36701-6742 | 2011-05-24 |
| 1285937847 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 404 4th St Nw, Attalla, AL 35954-2203 | 2010-12-20 |
| 1245530161 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 6662 Highway 75 Ste 114, Pinson, AL 35126-3200 | 2010-10-26 |
| 1003046772 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 215c Industrial Blvd, Leesburg, AL 35983-3742 | 2009-07-16 |
| 1811183833 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 2700 5th Ave N, Bessemer, AL 35020-4170 | 2007-09-24 |
| 1225403397 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 1810 Stadium Dr, Suite 120, Phenix City, AL 36867-3177 | 2015-12-01 |
| 1811301385 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 5412 Montgomery Hwy, Dothan, AL 36303-1657 | 2014-06-12 |
| 1568808673 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 230 E 10th St Ste 106, Anniston, AL 36207-5771 | 2013-05-15 |
| 1194030387 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 1141 Jasper Dennis Rd, Clanton, AL 35045-3783 | 2010-08-11 |
| Street Address |
3439 MCGEHEE RD |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36111-3392 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932217593 | Carol Williams Thornton | Dentist | 3439 Mcgehee Rd, Montgomery, AL 36111-3392 | 2006-08-25 |
| 1598965899 | Khaleda Imroz | Dentist | 3439 Mcgehee Rd, Suite B, Montgomery, AL 36111-3392 | 2007-07-24 |
| 1740351758 | Montgomery Smiles Youth Dentistry, PC | Dentist | 3439 Mcgehee Rd, Suite B, Montgomery, AL 36111-3392 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1932579042 | Arthur Mazyck | Radiology | 2159 Woodley Road, Montgomery, AL 36111 | 2015-10-01 |
| 1063823805 | Andrea Olofson | Pathology | 2055 Normandie Dr Ste 214, Montgomery, AL 36111 | 2014-05-14 |
| 1952609505 | The Health Care Authority for Baptist Health, An Affiliate of Uabhs | Psychiatry & Neurology | 4225 Narrow Lane Road, Montgomery, AL 36111 | 2011-03-07 |
| 1801082839 | River Region Hospital | Psychiatric Hospital | 4385 Narrow Lane Road, Montgomery, AL 36111 | 2007-09-24 |
| 1942330568 | Jefferson Underwood, IIi, Md, PC | Internal Medicine | 2173 Normandie Dr, Montgomery, AL 36111 | 2007-03-06 |
| 1659456606 | Jefferson Underwood | Internal Medicine | 2171 Normandie Dr, Montgomery, AL 36111 | 2006-10-26 |
| 1548340953 | William John Knox IIi | Otolaryngology | 2163 Normandie Drive, Montgomery, AL 36111 | 2006-10-17 |
| 1669573465 | Bennie R Hamner | Surgery | 2027 Normandie Drive, Montgomery, AL 36111 | 2006-09-26 |
| 1689651408 | Montgomery Aids Outreach, Inc. | Clinic/Center | 2900 Mcgehee Rd, Montgomery, AL 36111 | 2005-12-22 |
| Find all providers in zip 36111 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578091815 | Bush Pediatric Dentistry | Dentist | 4740 Woodmere Blvd, Montgomery, AL 36106-3065 | 2017-05-31 |
| 1669793246 | Liles Pediatric Dentistry | Dentist | 2828 W Edgemont Ave, Montgomery, AL 36108-4020 | 2010-06-17 |
| 1588714448 | Marcia Stoddart White | Dentist | 3084 Woodley Rd, Montgomery, AL 36116-3149 | 2007-01-11 |
| 1629128053 | Benjamin Joseph Cumbus | Dentist | 5833 Carmichael Rd, Montgomery, AL 36117-2329 | 2007-01-10 |
| 1598838153 | John H Payne | Dentist | 2600 Bell Rd, Montgomery, AL 36117-4375 | 2006-11-15 |
| 1285743872 | Richard K. Vann | Dentist | 7015 Halcyon Park Dr, Montgomery, AL 36117-7763 | 2006-08-29 |
| 1447759576 | Andrew Peter Owens | Dentist | 2600 Bell Rd, Montgomery, AL 36117-4375 | 2018-02-05 |
| 1265837199 | James Mallory Jenkins Jr. | Dentist | 7015 Halcyon Park Dr, Montgomery, AL 36117-7763 | 2014-11-04 |
| 1275769986 | Dentistry for Children PC | Dentist | 5833 Carmichael Rd, Montgomery, AL 36117 | 2009-06-09 |
| 1871738542 | Dentistry for Children | Dentist | 5833 Carmichael Rd, Montgomery, AL 36117 | 2008-12-10 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36111 |
Please comment or provide details below to improve the information on SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC..
| 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.