UNIVERSITY ORTHODONTICS LLC (NPI# 1104330950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104330950 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY ORTHODONTICS LLC |
| Practice Address |
641 Helen Keller Blvd Tuscaloosa AL 35404-2983 |
| Practice Telephone | 2055532524 |
| Practice Fax Number | 2055536617 |
| Mailing Telephone | 2055532524 |
| Mailing Fax Number | 2055536617 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Authorized Official Name | DR. PETER JASON GOLTZ (OWNER/ORTHODONTIST) |
| Authorized Official Telephone | 2055532524 |
| Authorized Official Credential | DMD MS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
5557 | AL | Dental Providers |
| Street Address |
641 HELEN KELLER BLVD |
| City | TUSCALOOSA |
| State | AL |
| Zip Code | 35404-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043315617 | Robert Cyrus Haraway Jr. | Dentist | 641 Helen Keller Blvd, Tuscaloosa, AL 35404 | 2006-09-14 |
| 1700437969 | University Pt Orthodontics LLC | Dentist | 641 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2019-09-27 |
| 1013480565 | Chandler Ashlee Goltz | Dentist | 641 Helen Keller Blvd, Tuscaloosa, AL 35404 | 2019-01-08 |
| 1720483944 | University Orthodontics PC | Dentist | 641 Helen Keller Blvd, Tuscaloosa, AL 35404-2983 | 2014-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942774146 | Dch Encore Rehabilitation, LLC | Clinic/Center | 1050 Ruby Tyler Parkwasy, Tuscaloosa, AL 35404 | 2019-01-22 |
| 1629465422 | Emily Dykes | Dietitian, Registered | 1000 13th St E Sted, Tuscaloosa, AL 35404 | 2015-04-20 |
| 1780075077 | Lesley Handjis | Nurse Practitioner | 1100 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2015-02-09 |
| 1790128825 | Ryan Carl Morrison | Dentist | 1701 Mcfarland Blvd E Ste 122, Tuscaloosa, AL 35404 | 2013-04-08 |
| 1962745000 | Jay William Holliday | Kinesiotherapist | 3707 Loop Rd., Tuscaloosa Va Medical Center, Tuscaloosa, AL 35404 | 2013-03-27 |
| 1538305719 | John Phillip Long | Dentist | 1600 University Blvd E, Tuscaloosa, AL 35404 | 2008-12-18 |
| 1841441656 | Payless Optical Outlets, Inc | Technician/Technologist | 622 15th Street E., Tuscaloosa, AL 35404 | 2008-10-10 |
| 1346408291 | William Heflin Barton IIi | Emergency Medicine | 1718 Veterans Memorial Parkway, Tuscaloosa, AL 35404 | 2008-05-28 |
| 1629245931 | Louis T Payne | Obstetrics & Gynecology | 535 Jack Warner Parkway Ne, Suite I, Tuscaloosa, AL 35404 | 2008-05-15 |
| 1780746719 | Tuscaloosa Medical Associates | Internal Medicine | 1120 Ruby Tyler Parkway, Tuscaloosa, AL 35404 | 2006-12-15 |
| Find all providers in zip 35404 | ||||
| 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 |
| 1063969368 | Children and Teen Ortho Group of Alabama | Dentist | 221 Rice Mine Rd Ne Ste 260, Tuscaloosa, AL 35406-2401 | 2016-09-02 |
| 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 |
| 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 | 35404 |
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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.