PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, LLC


Address: 1613 11th Ave S, Birmingham, AL 35205-4703
Phone: 2055869922

PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, LLC (NPI# 1952774945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952774945
Entity Type Organization
Organization Name PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, LLC
Practice Address 1613 11th Ave S
Birmingham
AL 35205-4703
Practice Telephone 2055869922
Mailing Telephone 2055869922
Enumeration Date 2015-11-12
Last Update Date 2015-11-12
Authorized Official Name DR. THOMAS G WILLINGHAM JR. (PARTNER)
Authorized Official Telephone 2055869922
Authorized Official Credential DMD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
Dental Providers

Office Location

Street Address 1613 11TH AVE S
City BIRMINGHAM
State AL
Zip Code 35205-4703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295835338 Frederick B Smith Dentist 1613 11th Ave S, Birmingham, AL 35205-4703 2006-09-25
1366620155 Birmingham Pediatric Dental Care Associates Dentist 1613 11th Ave S, Birmingham, AL 35205-4703 2008-02-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124547674 Serve Home Health Care Agency, LLC In Home Supportive Care 2230 Green Springs Hwy S, Birmingham, AL 35205 2017-09-15
1457870487 Marilyn Bennett Pinson Pharmacist Walgreens Store #15144, 3020 Clairmont Ave S, Birmingham, AL 35205 2017-09-11
1639522238 Dana Rives Speech-Language Pathologist St. Vincent's, Building 3, Suite 402, Birmingham, AL 35205 2016-07-19
1760854236 Raymond Herring Chiropractor 1226 29th St S, Apt 18, Birmingham, AL 35205 2015-10-23
1083005813 Absolutely Amazing Salon Prosthetic/Orthotic Supplier 2227 Arlington Avenue, Birmingham, AL 35205 2015-02-16
1396141651 Alexandria Hutchison Occupational Therapist 833 Saint Vincent's Drive, Building 3, Suite 200, Birmingham, AL 35205 2014-11-14
1790028199 Patrick Ross Owens Otolaryngology 833 Saint Vincents Dr Ste 402, Birmingham, AL 35205 2013-04-03
1053657452 David Mitchell Comfort Urology 2716 Hanover Circle, Unit 801, Birmingham, AL 35205 2012-12-13
1598023632 Kathryn Ashley Bentley Orthopaedic Surgery 833 St. Vincent's Drive, Bldg 3, Ste 403, Birmingham, AL 35205 2012-04-26
1114298510 Natalie Elizabeth George Physician Assistant 2100 16th Avenue South, 202, Birmingham, AL 35205 2012-01-18
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Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134336480 Sory Shannon Dentist 5113 Cyrus Cir, Birmingham, AL 35242-4631 2007-05-17
1225150782 Joby Lee Hurst Dentist 2894 Acton Rd, Birmingham, AL 35243-2502 2007-04-04
1811059124 John Bernard Thornton Dentist Uab School of Dentistry, 1919 7th Ave. So., Birmingham, AL 35294-0001 2006-12-14
1639251713 Michael King Vann II Dentist 1808 Gadsden Hwy Ste 134, Birmingham, AL 35235-3140 2006-10-19
1932299013 Stephanie H Steinmetz Dentist 521 Montgomery Hwy Ste 125, Birmingham, AL 35216-1877 2006-10-13
1295835338 Frederick B Smith Dentist 1613 11th Ave S, Birmingham, AL 35205-4703 2006-09-25
1730297276 Kimberly Rosser Carr Dentist 1801 14th Ave S, Birmingham, AL 35205-4931 2006-08-25
1578678645 Donald William Englebert Dentist 2114 10th Ave S, Birmingham, AL 35205-2712 2006-08-20
1336157759 Jerry Lee Parker Dentist 1263 Center Point Pkwy, Suite A, Birmingham, AL 35215-6347 2006-08-03
1477572741 Michael Aaron Keller Dentist 2045 Brookwood Medical Ctr Dr, Suite 5-7, Birmingham, AL 35209-6874 2006-07-18
Find all providers in BIRMINGHAM

Competitor

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City BIRMINGHAM
Zip Code 35205

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Dataset Information

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.

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