AUBURN PEDIATRIC DENTISTRY (NPI# 1063618528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063618528 |
| Entity Type | Organization |
| Organization Name | AUBURN PEDIATRIC DENTISTRY |
| Practice Address |
841 North Dean Road Auburn AL 36830 |
| Practice Telephone | 3348266651 |
| Practice Fax Number | 3348266657 |
| Mailing Telephone | 3348266651 |
| Mailing Fax Number | 3348266657 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. CHARLES REW GREENLEAF (OWNER, DENTIST) |
| Authorized Official Telephone | 3348266651 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
5385 | AL | Dental Providers |
| Street Address |
841 NORTH DEAN ROAD |
| City | AUBURN |
| State | AL |
| Zip Code | 36830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366072878 | Jayson Patrick Hairston | Student in an Organized Health Care Education/Training Program | 1188 Opelika Rd Building 700 Unit 1, Auburn, AL 36830 | 2020-01-23 |
| 1477106417 | Dunn Psychological Services, LLC | Clinic/Center | 2204 Ogletree Village Lane, Suite B, Auburn, AL 36830 | 2019-07-18 |
| 1487117982 | East Alabama Apothecary LLC | Pharmacy | 665 Opelika Roade, Suite 400, Auburn, AL 36830 | 2019-04-11 |
| 1558822759 | Shelley Orthodontics LLC | Dentist | 1957 E. Samford Ave., Ste A, Auburn, AL 36830 | 2019-03-29 |
| 1811454903 | Auburn Pharmacy | Pharmacy | 643 North Dean Road, Auburn, AL 36830 | 2019-02-25 |
| 1386121473 | Joshua D Mathis Dds LLC | Clinic/Center | 2311 Bent Creek Rd., Ste 500, Auburn, AL 36830 | 2018-07-23 |
| 1790213866 | Amy Morton Dean | Pharmacist | 717 Queens, Auburn, AL 36830 | 2017-06-01 |
| 1629519558 | Laura Walton Bell | Nurse Practitioner | 1702 Catherine Ct, Auburn, AL 36830 | 2017-03-11 |
| 1952857229 | North Dean Dental, P.C. | Clinic/Center | 867 North Dean Road, Auburn, AL 36830 | 2016-08-28 |
| 1871960302 | Beverly Harrison Doyle | Physical Therapist | 2515 E. Glenn Ave., Ste 104, Auburn, AL 36830 | 2015-09-01 |
| Find all providers in zip 36830 | ||||
| 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 |
|---|---|---|---|---|
| 1790295632 | S. Jang Dds Incorporated | Dentist | 500 Auburn Folsom Rd Ste 330b, Auburn, CA 95603-5645 | 2017-10-05 |
| 1497933253 | East Alabama Pediatric Dentistry & Orthodontics | Dentist | 742 N Dean Rd, Auburn, AL 36830-4300 | 2008-02-04 |
| 1760683577 | David Mark Seman | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2007-05-30 |
| 1538225933 | Tavallaei, D.m.d., Corporation | Dentist | 500 Auburn Folsom Rd, Suite330, Auburn, CA 95603 | 2006-12-29 |
| 1528148236 | Charles Rew Greenleaf Sr. | Dentist | 841 North Dean Rd., Auburn, AL 36830 | 2006-10-17 |
| 1659801470 | Paolo A. Poidmore and Brian C. Crawford, A Dental Corporation | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2017-06-14 |
| 1023408721 | S.y. Jang Dds Corporatiom | Dentist | 500 Auburn Folsom Rd, # 330, Auburn, CA 95603-5645 | 2015-02-02 |
| 1962797217 | Abraham Jordan Priestley | Dentist | 11961 Heritage Oak Pl, Auburn, CA 95603-2461 | 2011-06-15 |
| 1144556127 | J. Lothyan, D.d.s., P.l.l.c. | Dentist | 722 12th St Se, Auburn, WA 98002-6708 | 2009-10-26 |
| 1942533351 | Kent Nuttall Dmd Ps | Dentist | 722 12th St Se, Auburn, WA 98002-6708 | 2009-09-16 |
| Find all providers in AUBURN | ||||
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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.