PIKE ROAD DENTAL, LLC (NPI# 1053806331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053806331 |
| Entity Type | Organization |
| Organization Name | PIKE ROAD DENTAL, LLC |
| Practice Address |
31 Bridge St Pike Road AL 36064 |
| Mailing Address |
31 Bridge St Pike Road AL 36064-3843 |
| Practice Telephone | 3348197377 |
| Practice Fax Number | 3348197379 |
| Mailing Telephone | 3348197377 |
| Mailing Fax Number | 3348197379 |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-07-09 |
| Authorized Official Name | MRS. YOLANDA WALTERS (OFFICE MANAGER) |
| Authorized Official Telephone | 3348197377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5159 | AL | Ambulatory Health Care Facilities |
| Street Address |
31 BRIDGE ST |
| City | PIKE ROAD |
| State | AL |
| Zip Code | 36064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770068 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 9515 Vaughn Road, Pike Road, AL 36064 | 2020-11-03 |
| 1437605292 | Woods Pt LLC | Physical Therapist | 9907 Turtle River Road, Pike Road, AL 36064 | 2016-08-31 |
| 1174854509 | Joseph Maurice Scanlan | Ophthalmology | 175 Pike Road Trail, Pike Road, AL 36064 | 2010-01-25 |
| 1821284514 | Colleen Irving Hawthorne | Speech-Language Pathologist | 345 Dansby Ct., Pike Road, AL 36064 | 2007-09-17 |
| 1285842617 | Rachel Lee Stewart | Physical Therapist | 9708 Silver Bell Ct, Pike Road, AL 36064 | 2007-05-18 |
| 1851565907 | Jeanell Jones Norvell | Counselor | 1196 Meriwether Rd, Pike Road, AL 36064-1721 | 2008-04-19 |
| 1295777126 | Theodore M Morgan Sr. | Emergency Medicine | 155 Glynlakes Dr, Pike Road, AL 36064-1767 | 2006-06-12 |
| 1710420351 | Melinda Landrum | Counselor | 9427 Vaughn Rd, Suite 27, Pike Road, AL 36064-2210 | 2016-11-30 |
| 1881160281 | Memendra Page Harris | Counselor | 9427 Vaughn Rd Ste F, Pike Road, AL 36064-2255 | 2018-10-23 |
| 1053886895 | Rebecca Tiller Harrison | Counselor | 9427 Vaughn Rd, Pike Road, AL 36064-2255 | 2018-10-08 |
| Find all providers in zip 36064 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376833947 | Designer Smiles Dental Studio, P.C. | Clinic/Center | 11123 Chantilly Pkwy Ct, Suite I, Pike Road, AL 36064-2880 | 2011-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192476 | Jacob L Turner Dmd PC | Clinic/Center | 100 A Andrew Street, Albertville, AL 35950 | 2020-10-23 |
| 1538775150 | Grants Mill Family Dentistry, LLC | Clinic/Center | 1024 Grants Mill Rd, Irondale, AL 35210-2108 | 2020-09-18 |
| 1164035341 | William M Colburn Dmd PC | Clinic/Center | 2810 20th Ave Ste A, Northport, AL 35476-3835 | 2020-08-26 |
| 1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
| 1184251100 | Big Wave Dentistry LLC | Clinic/Center | 110 S Alston St, Foley, AL 36535-1912 | 2020-03-27 |
| 1952934226 | Red Mountain Pediatric Dentistry | Clinic/Center | 2836 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-02-14 |
| 1467085837 | Brooke Jordan Dds LLC | Clinic/Center | 101 Missionary Rdg Ste 101, Birmingham, AL 35242-5203 | 2020-02-13 |
| 1881225829 | Bell Road Dentistry LLC | Clinic/Center | 2642 Bell Rd, Montgomery, AL 36117-4375 | 2020-01-29 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1609417195 | Rocket City Dental | Clinic/Center | 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 | 2019-10-05 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on PIKE ROAD DENTAL, LLC.
| 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.