CHILDERSBURG GR DENTAL, LLC (NPI# 1144726621) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144726621 |
| Entity Type | Organization |
| Organization Name | CHILDERSBURG GR DENTAL, LLC |
| Other Organization Name | 280 DENTAL CARE |
| Practice Address |
138 9th Ave Sw Childersburg AL 35044-1642 |
| Mailing Address |
108 North St E Talladega AL 35160-2108 |
| Practice Telephone | 2563783322 |
| Mailing Telephone | 2563783322 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-03 |
| Authorized Official Name | THOMAS G RICE III (MEMBER) |
| Authorized Official Telephone | 7062077133 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
D5959C1 | AL | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| 280 Dental Care | Doing Business As Name - Organization |
| Street Address |
138 9TH AVE SW |
| City | CHILDERSBURG |
| State | AL |
| Zip Code | 35044-1642 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811102387 | Christa I Sligh | Dentist | 138 9th Ave Sw, Childersburg, AL 35044-1642 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992935514 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 33605 Hwy 280, Childersburg, AL 35044 | 2009-07-16 |
| 1477735983 | Summer Raye Karns Heard | Audiologist | 33605 Us Highway 280, Childersburg, AL 35044 | 2007-11-27 |
| 1073649737 | Scott Appell Md PC | Orthopaedic Surgery | 34401 Hwy 280, Childersburg, AL 35044 | 2007-02-26 |
| 1952484081 | Management and Medical Services, LLC | Family Medicine | 34011 Highway 280 East, Childersburg, AL 35044 | 2006-10-23 |
| 1790881787 | Wendy White Cleveland | Pharmacist | 33404 Us Hwy 280, Childersburg, AL 35044 | 2006-09-16 |
| 1508962507 | Arnold Larry Kirkland Jr. | Pharmacist | 33404 Us Highway 280, Childersburg, AL 35044 | 2006-09-16 |
| 1831320340 | Terry R Walters | Audiologist-Hearing Aid Fitter | 33605 Hwy 280, Childersburg, AL 35044 | 2009-07-31 |
| 1720010754 | Freds Stores of Tennessee Inc | Pharmacy | 80 River Run Rd, Childersburg, AL 35044-1208 | 2006-07-07 |
| 1558679530 | Jim Peeples | Pharmacist | 80 River Run Rd, Childersburg, AL 35044-1208 | 2010-09-23 |
| 1255574729 | Birmingham Vamc | Clinic/Center | 151 9th Ave Nw, Childersburg, AL 35044-1231 | 2009-04-14 |
| Find all providers in zip 35044 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083140305 | 280 Dental Care LLC | Clinic/Center | 33044 Us Highway 280, Childersburg, AL 35044-1896 | 2017-05-05 |
| 1356675342 | Troy H. Dennis D.m.d. PC | Clinic/Center | 311 8th Ave Sw, Childersburg, AL 35044-1625 | 2009-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192476 | Jacob L Turner Dmd PC | Clinic/Center | 100 A Andrew Street, Albertville, AL 35950 | 2020-10-23 |
| 1538775150 | Grants Mill Family Dentistry, LLC | Clinic/Center | 1024 Grants Mill Rd, Irondale, AL 35210-2108 | 2020-09-18 |
| 1164035341 | William M Colburn Dmd PC | Clinic/Center | 2810 20th Ave Ste A, Northport, AL 35476-3835 | 2020-08-26 |
| 1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
| 1184251100 | Big Wave Dentistry LLC | Clinic/Center | 110 S Alston St, Foley, AL 36535-1912 | 2020-03-27 |
| 1952934226 | Red Mountain Pediatric Dentistry | Clinic/Center | 2836 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-02-14 |
| 1467085837 | Brooke Jordan Dds LLC | Clinic/Center | 101 Missionary Rdg Ste 101, Birmingham, AL 35242-5203 | 2020-02-13 |
| 1881225829 | Bell Road Dentistry LLC | Clinic/Center | 2642 Bell Rd, Montgomery, AL 36117-4375 | 2020-01-29 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1609417195 | Rocket City Dental | Clinic/Center | 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 | 2019-10-05 |
| Find all providers with the same taxonomy | ||||
| City | CHILDERSBURG |
| Zip Code | 35044 |
Please comment or provide details below to improve the information on CHILDERSBURG GR DENTAL, LLC.
| 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.