AFFORDABLE DENTURES & IMPLANTS - PELL CITY, P.C (NPI# 1073095212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073095212 |
| Entity Type | Organization |
| Organization Name | AFFORDABLE DENTURES & IMPLANTS - PELL CITY, P.C |
| Practice Address |
402 Cogswell Ave Pell City AL 35125-2446 |
| Practice Telephone | 2053382915 |
| Practice Fax Number | 2058149331 |
| Mailing Telephone | 2053382915 |
| Mailing Fax Number | 2058149331 |
| Enumeration Date | 2018-09-04 |
| Last Update Date | 2018-09-04 |
| Authorized Official Name | KIMONNIE SHANNON (PRACTICE OWNER) |
| Authorized Official Telephone | 2053382915 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Street Address |
402 COGSWELL AVE |
| City | PELL CITY |
| State | AL |
| Zip Code | 35125-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548385461 | Reginald F Rose | Dentist | 402 Cogswell Ave, Pell City, AL 35125-2446 | 2007-03-20 |
| 1083023089 | Eden Family Dentistry | Dentist | 402 Cogswell Ave, Suite A, Pell City, AL 35125-2446 | 2014-08-05 |
| 1780970970 | Affordable Dentures - Pell City/eden, P.C. | Dentist | 402 Cogswell Ave, Pell City, AL 35125-2446 | 2011-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629507082 | Christoph Scott Koogler | Pharmacist | 165 Vaughn Lane, Pell City, AL 35125 | 2017-06-08 |
| 1104133693 | State of Alabama Department of Public Health | Nurse Practitioner | 1175 23rd Street North, St. Clair County Health Department, Pell City, AL 35125 | 2010-09-07 |
| 1801918776 | David Timothy Sawyer | Dentist | 402a Cogswell Ave, Pell City, AL 35125 | 2007-04-04 |
| 1528106341 | Patricia Yvonne Hamilton | Counselor | 1540 Center Point Pkway, Suite 102, Birmingham, AL 35125 | 2007-02-02 |
| 1316028566 | Glenn Hendrick Magargee | Counselor | 8 16th Street, Pell City, AL 35125 | 2006-10-17 |
| 1508965633 | Derek Matthew Morris | Pharmacist | 505 Martin Street, Pell City, AL 35125 | 2006-09-22 |
| 1699882738 | Hasmukh Nagindas Jariwala | Internal Medicine | 2811 Dr John Haynes Dr, Suite 102, Pell City, AL 35125 | 2006-08-24 |
| 1912914185 | Sara V Thompson | Nurse Practitioner | 70 Plaza Drive, Pell City, AL 35125 | 2006-08-01 |
| 1972547636 | Elisabeth May Douglass | Physical Therapist | 85 Plaza Drive, Pell City, AL 35125 | 2006-06-15 |
| 1851376610 | Barry G Collins | Internal Medicine | 7067 Veterans Parkway, Suite 200, Pell City, AL 35125 | 2005-12-14 |
| Find all providers in zip 35125 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932643129 | Dr. Sandra T. Lanter | Dentist | 4402 Cogswell Ave, Pell City, AL 35125-2702 | 2016-12-07 |
| 1801918776 | David Timothy Sawyer | Dentist | 402a Cogswell Ave, Pell City, AL 35125 | 2007-04-04 |
| 1548385461 | Reginald F Rose | Dentist | 402 Cogswell Ave, Pell City, AL 35125-2446 | 2007-03-20 |
| 1225105000 | James Sidney Roe | Dentist | 514 Martin Street South, Pell City, AL 35128 | 2006-11-29 |
| 1609359637 | Victor Cheng | Dentist | 2043 Martin St S, Pell City, AL 35128-2329 | 2018-09-14 |
| 1083023089 | Eden Family Dentistry | Dentist | 402 Cogswell Ave, Suite A, Pell City, AL 35125-2446 | 2014-08-05 |
| 1780970970 | Affordable Dentures - Pell City/eden, P.C. | Dentist | 402 Cogswell Ave, Pell City, AL 35125-2446 | 2011-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292845 | Matthew Thomas Rurka | Dentist | 4685 Highway 17 Ste C, Helena, AL 35080-3560 | 2020-10-13 |
| 1760089619 | Daniel Brumley | Dentist | 3400 Montgomery Hwy Ste 1, Dothan, AL 36303-1270 | 2020-10-05 |
| 1457963787 | Carrie Ann Cochran | Dentist | 1995 Pepperell Pkwy Ste 1, Opelika, AL 36801-5460 | 2020-08-18 |
| 1689286254 | Rajdeepsinh Narendrasinh Dolia | Dentist | 12205 County Line Rd Ste A, Madison, AL 35758-7720 | 2020-08-17 |
| 1497365498 | Krina Patel | Dentist | 101 6th Ave Nw, Jasper, AL 35504-7486 | 2020-08-04 |
| 1992329700 | Forrest Hunter Harris | Dentist | 1551 E Trinity Blvd, Montgomery, AL 36106-3802 | 2020-06-08 |
| 1609499169 | Tanya Tamiki Hollinshed-miles | Dentist | 1304 Beech St, Montgomery, AL 36113-1002 | 2020-05-19 |
| 1891327904 | Vital Smiles Alabama II PC | Dentist | 809 Beltline Rd Sw Ste A, Decatur, AL 35601-6337 | 2020-02-06 |
| 1689217309 | Stonecreek Dental of Alabama | Dentist | 1840 Montclaire Dr, Vestavia Hills, AL 35216-1408 | 2019-10-25 |
| 1013558766 | Southern Smiles | Dentist | 2801 John Hawkins Pkwy Ste 175, Hoover, AL 35244-4007 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
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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.