CHILDREN'S DENTISTRY OF ALABAMA (NPI# 1114390325) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114390325 |
| Entity Type | Organization |
| Organization Name | CHILDREN'S DENTISTRY OF ALABAMA |
| Other Organization Name | OAK MOUNTAIN PEDIATRIC DENTISTRY |
| Practice Address |
6930 Cahaba Valley Rd Suite 200 Birmingham AL 35242-2672 |
| Practice Telephone | 2056136475 |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2015-11-30 |
| Authorized Official Name | DR. JEFFREY HARRIS FLANNERY JR. (MANAGER) |
| Authorized Official Telephone | 2056136475 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
6049 | AL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Oak Mountain Pediatric Dentistry | Doing Business As Name - Organization |
| Street Address |
6930 CAHABA VALLEY RD SUITE 200 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35242-2672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427131572 | Charles H. Ellis | Dentist | 6930 Cahaba Valley Rd, Suite 1, Birmingham, AL 35242-2672 | 2006-10-23 |
| 1598192445 | Hall Family Dentistry | Dentist | 6930 Cahaba Valley Rd, Birmingham, AL 35242-2672 | 2013-10-08 |
| 1396185104 | Jeffrey Harris Flannery Jr. | Dentist | 6930 Cahaba Valley Rd, Suite 200, Birmingham, AL 35242-2672 | 2013-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558960138 | A Friend of Mind | Behavioral Analyst | 5271 Harvest Ridge Ln, Birmingham, AL 35242 | 2020-10-23 |
| 1295347789 | Restore Therapy Services, Ltd | Physical Therapist | 6328 Farley Lane, Birmingham, AL 35242 | 2020-08-18 |
| 1447894175 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 3201 Endeavor Lane, Vestavia Hills, AL 35242 | 2019-11-06 |
| 1952956468 | Publix Alabama, LLC | Durable Medical Equipment & Medical Supplies | 6219 Tattersall Blvd., Hoover, AL 35242 | 2019-08-02 |
| 1033670120 | Rachel Monahan -patterson | Registered Nurse | 7191 Cahaba Valley Road, Suite 300, Birmingham, AL 35242 | 2019-03-29 |
| 1891283818 | Elizabeth Mcrae | Counselor | 150 Glenwood Lane, Birmingham, AL 35242 | 2018-04-25 |
| 1326549429 | Mary Virginia Colvert | Nurse Practitioner | 200 Riverhill Business Park, #250, Birmingham, AL 35242 | 2018-02-23 |
| 1669980504 | Liberty Park Anesthesia Services, LLC | Nurse Anesthetist, Certified Registered | 1940 Stonegate Dr Ste 30, Vestavia Hls, AL 35242 | 2018-01-12 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1922526557 | Sarah Katherine Fleming | Specialist/Technologist | 1524 Southern Drive, Birmingham, AL 35242 | 2017-09-04 |
| Find all providers in zip 35242 | ||||
| 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 |
|---|---|---|---|---|
| 1134336480 | Sory Shannon | Dentist | 5113 Cyrus Cir, Birmingham, AL 35242-4631 | 2007-05-17 |
| 1225150782 | Joby Lee Hurst | Dentist | 2894 Acton Rd, Birmingham, AL 35243-2502 | 2007-04-04 |
| 1811059124 | John Bernard Thornton | Dentist | Uab School of Dentistry, 1919 7th Ave. So., Birmingham, AL 35294-0001 | 2006-12-14 |
| 1639251713 | Michael King Vann II | Dentist | 1808 Gadsden Hwy Ste 134, Birmingham, AL 35235-3140 | 2006-10-19 |
| 1932299013 | Stephanie H Steinmetz | Dentist | 521 Montgomery Hwy Ste 125, Birmingham, AL 35216-1877 | 2006-10-13 |
| 1295835338 | Frederick B Smith | Dentist | 1613 11th Ave S, Birmingham, AL 35205-4703 | 2006-09-25 |
| 1730297276 | Kimberly Rosser Carr | Dentist | 1801 14th Ave S, Birmingham, AL 35205-4931 | 2006-08-25 |
| 1578678645 | Donald William Englebert | Dentist | 2114 10th Ave S, Birmingham, AL 35205-2712 | 2006-08-20 |
| 1336157759 | Jerry Lee Parker | Dentist | 1263 Center Point Pkwy, Suite A, Birmingham, AL 35215-6347 | 2006-08-03 |
| 1477572741 | Michael Aaron Keller | Dentist | 2045 Brookwood Medical Ctr Dr, Suite 5-7, Birmingham, AL 35209-6874 | 2006-07-18 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35242 |
Please comment or provide details below to improve the information on CHILDREN'S DENTISTRY 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.