CHILDREN AND TEEN ORTHO GROUP OF ALABAMA (NPI# 1063969368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063969368 |
| Entity Type | Organization |
| Organization Name | CHILDREN AND TEEN ORTHO GROUP OF ALABAMA |
| Practice Address |
221 Rice Mine Rd Ne Ste 260 Tuscaloosa AL 35406-2401 |
| Mailing Address |
342 N Main St Ste 200 Alpharetta GA 30009-8376 |
| Practice Telephone | 2057583341 |
| Practice Fax Number | 6785505490 |
| Mailing Telephone | 2057583341 |
| Mailing Fax Number | 2053661099 |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2018-12-11 |
| Authorized Official Name | CRYSTAL WALKER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7707444522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
Dental Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3825 Lorna Rd Ste 206, Hoover, AL 352443003 | 2059889800 |
| Street Address |
221 RICE MINE RD NE STE 260 |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35406-2401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134757735 | Susan Tingle Mills | Counselor | 1470 Northbank Parkway, Tuscaloosa, AL 35406 | 2020-03-30 |
| 1508416314 | Carehere LLC | Family Medicine | Carehere Clinic-mercedes Tuscaloosa Health and Wellness, 971 Fairfax Park, Suite B, Tuskaloosa, AL 35406 | 2019-09-13 |
| 1093275364 | Medfusions | Nurse Anesthetist, Certified Registered | 120 Rice Mine Road N, Tuscaloosa, AL 35406 | 2019-03-22 |
| 1891144259 | Gregory Chad Green, Od, PC | Optometrist | 1490 Northbank Parkway, Suite 120, Tuscaloosa, AL 35406 | 2016-06-07 |
| 1164767083 | First Care LLC | Clinic/Center | 1251 Mcfarland Blvd. Ne, Tuscaloosa, AL 35406 | 2012-12-04 |
| 1144520487 | Ladonna Demetrice Snider | Registered Nurse | 825 Rice Mine Road No., Tuscaloosa, AL 35406 | 2010-11-02 |
| 1699923102 | Nancy M. Tactuk Romanenko | Internal Medicine | 1015 Rice Valley Rd N, Tuscaloosa, AL 35406 | 2008-09-09 |
| 1912042433 | Patrick Bruce Atkins | Psychiatry & Neurology | 1649 Mcfarland Boulevard North, Suite 201, Tuscaloosa, AL 35406 | 2007-02-21 |
| 1073663555 | Mark Linden Prohaska | Clinical Neuropsychologist | 100 Rice Mine Road, Suite 303, Tuscaloosa, AL 35406 | 2007-01-10 |
| 1225197155 | Jane Watkins Phd | Counselor | 150 Rice Mine Road, Suite B, Tuscalcosa, AL 35406 | 2006-12-06 |
| Find all providers in zip 35406 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497244438 | Smile Doctors of Alabama, PC | Dentist | 535 Jack Warner Pkwy Ne Ste D, Tuscaloosa, AL 35404-5715 | 2018-05-04 |
| 1285841049 | Jeremy R. Mckinney | Dentist | 401 Towncenter Blvd Ste A, Tuscaloosa, AL 35406-1822 | 2007-05-17 |
| 1902940059 | Riverview Orthodontics, P. C. | Dentist | 815 Rice Mine Rd N, Tuscaloosa, AL 35406-2314 | 2007-02-19 |
| 1043315617 | Robert Cyrus Haraway Jr. | Dentist | 641 Helen Keller Blvd, Tuscaloosa, AL 35404 | 2006-09-14 |
| 1679682348 | Robert Marion Amason Sr. | Dentist | 535 Jack Warner Parkway, Tuscaloosa, AL 35404-5715 | 2006-08-29 |
| 1417961970 | Richard Maurice Bryant | Dentist | 222 Mcfarland Cir N, Tuscaloosa, AL 35406-1800 | 2006-07-28 |
| 1700437969 | University Pt Orthodontics LLC | Dentist | 641 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2019-09-27 |
| 1104330950 | University Orthodontics LLC | Dentist | 641 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2017-11-30 |
| 1992163620 | Susan Elizabeth Whitt | Dentist | 535 Jack Warner Pkwy Ne, Tuscaloosa, AL 35404-5751 | 2016-02-09 |
| 1720483944 | University Orthodontics PC | Dentist | 641 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2014-10-30 |
| Find all providers in TUSCALOOSA | ||||
| City | TUSCALOOSA |
| Zip Code | 35406 |
Please comment or provide details below to improve the information on CHILDREN AND TEEN ORTHO GROUP OF ALABAMA.
| 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.