STONECREEK ACQUISTION, LLC (NPI# 1144342841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144342841 |
| Entity Type | Organization |
| Organization Name | STONECREEK ACQUISTION, LLC |
| Other Organization Name | STONECREEK DENTAL-MONTGOMERY 2 |
| Practice Address |
1901 Mulberry St Montgomery AL 36106-1626 |
| Practice Telephone | 3342659202 |
| Mailing Telephone | 3342659202 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2017-06-05 |
| Authorized Official Name | DR. JON C MANN (DOCTOR) |
| Authorized Official Telephone | 3342659202 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Other Name | Type Code |
|---|---|
| Stonecreek Dental-Montgomery 2 | Doing Business As Name - Organization |
| Street Address |
1901 MULBERRY ST |
| City | MONTGOMERY |
| State | AL |
| Zip Code | 36106-1626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417951773 | Leo Riley Trehern | Dentist | 1901 Mulberry St, Montgomery, AL 36106-1626 | 2005-06-01 |
| 1518564400 | Devante Josephs | Dentist | 1901 Mulberry St, Montgomery, AL 36106-1626 | 2020-10-05 |
| 1124571559 | Taylor Andrew Banks | Dentist | 1901 Mulberry St, Montgomery, AL 36106-1626 | 2016-08-02 |
| 1962588996 | Victoria Lillian Wells | Dentist | 1901 Mulberry St, Montgomery, AL 36106-1626 | 2006-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235747205 | Rural Urgent Care LLC | Clinic/Center | 3039 Vaughn Road, Montgomery, AL 36106 | 2020-07-16 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1588133854 | Lori Leanne Fail | Physical Therapist | 1615 Windsor Hill Court, Montgomery, AL 36106 | 2018-11-16 |
| 1073020749 | Charlene Richmond Harrell | Chiropractor | 2900 Zelda Rd., Suite A, Montgomery, AL 36106 | 2018-01-03 |
| 1780123109 | Montgomery Accident and Injury Center, Inc | Nurse Practitioner | 2900 Zelda Rd, Ste B, Montgomery, AL 36106 | 2017-02-17 |
| 1467843573 | Ernest Porterfield | Non-emergency Medical Transport (VAN) | 4183 Carmichael Road, Suite A, Montgomery, AL 36106 | 2015-02-11 |
| 1114334281 | Daniel Gerald O'bryant | Specialist/Technologist | 1160 Navarro Avenue, Montgomery, AL 36106 | 2014-07-21 |
| 1801213764 | Amanda Hodge | Specialist/Technologist | 4605 Cherry Tree Terrace, Montgomery, AL 36106 | 2014-03-27 |
| 1871861542 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1758 Park Pl Ste 102, Montgomery, AL 36106 | 2011-12-08 |
| 1578862546 | Helping Hands Preventitive Health Center | Community/Behavioral Health | 2015 Mulberry St, Montgomery, AL 36106 | 2011-03-16 |
| Find all providers in zip 36106 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477107217 | Julian Brandt Smith | Dentist | 2642 Bell Road, Montgomery, AL 36117-7559 | 2019-07-30 |
| 1669931721 | Shirley Jennifer Daniel | Dentist | 6941 Eastchase Loop, Montgomery, AL 36117-6876 | 2019-03-18 |
| 1548733306 | Bennett Family Dentistry, LLC | Dentist | 4270 Carmichael Road, Montgomery, AL 36106 | 2019-01-04 |
| 1760999726 | Everbright Dental Pllc | Dentist | 20212 Eva St., #160, Montgomery, TX 77356 | 2017-12-29 |
| 1891201430 | Cranfill Dental of Al LLC | Dentist | 150 S Perry St, Montgomery, AL 36104-4227 | 2017-12-19 |
| 1578922191 | Travis A Thompson | Dentist | 3439 B Mcgehee Road, Suite 22, Montgomery, AL 36111 | 2016-02-11 |
| 1114392107 | Tooth Buds At Lagoon Park, LLC | Dentist | 553 N Eastern Blvd, Montgomery, AL 36117-2213 | 2015-12-02 |
| 1275872426 | Johnny M. Griffin Dds PC | Dentist | 1401 I85 Pkwy Ste D, Montgomery, AL 36106-2833 | 2013-02-07 |
| 1639444342 | Homer William Smith | Dentist | 619 Second Avenue, Montgomery, WV 25136-2435 | 2012-03-13 |
| 1629242441 | Ricky Warner Logan | Dentist | 4711 Atlanta Hwy, Montgomery, AL 36109-3240 | 2008-04-14 |
| Find all providers in MONTGOMERY | ||||
| City | MONTGOMERY |
| Zip Code | 36106 |
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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.