GLYNWOOD PARK DENTAL CARE (NPI# 1164796959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164796959 |
| Entity Type | Organization |
| Organization Name | GLYNWOOD PARK DENTAL CARE |
| Practice Address |
1831 Glynwood Drive Prattville AL 36066 |
| Mailing Address |
3150 Zelda Ct Montgomery AL 36106-2607 |
| Practice Telephone | 3343969001 |
| Practice Fax Number | 3342812451 |
| Mailing Telephone | 3342812451 |
| Mailing Fax Number | 3342811087 |
| Enumeration Date | 2012-02-27 |
| Last Update Date | 2012-02-27 |
| Authorized Official Name | MS. SUSAN M STEWART (OFFICE MANAGER) |
| Authorized Official Telephone | 3342812451 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
4029 | AL | Dental Providers |
| Street Address |
1831 GLYNWOOD DRIVE |
| City | PRATTVILLE |
| State | AL |
| Zip Code | 36066 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053856591 | Camellia Hospice of South Alabama, LLC | Hospice Care, Community Based | 1807 Station Dr Ste B, Prattville, AL 36066 | 2016-12-19 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1407243645 | Drayer Physical Therapy-alabama, LLC | Physical Therapist | 2703 Legends Parkway, Prattville, AL 36066 | 2015-04-24 |
| 1225396203 | Kristin Taylor | Occupational Therapist | 635 Mcqueen Smith Road, Suite D, Prattville, AL 36066 | 2012-04-27 |
| 1790068757 | Jason Duane Weaver | Physical Therapist | 1824 Glynwood Drive, Prattville, AL 36066 | 2011-09-26 |
| 1982931499 | Health Star Inc | Chiropractor | 2441 Cobbs Ford Road, Prattville, AL 36066 | 2009-11-05 |
| 1023101698 | Drs. Tatum and Walker, L.L.C. | Dentist | 597 South Memorial Drive, Prattville, AL 36066 | 2006-10-02 |
| 1730290693 | Shalini Goswami | Internal Medicine | 1294 E Main St, Prattville, AL 36066 | 2006-08-31 |
| 1407860380 | Robert Allen Avery | Internal Medicine | 645 Mcqueen Smith Rd N Ste 207, Prattville, AL 36066 | 2006-07-28 |
| 1689695488 | John B Malion Sr. | Chiropractor | 166 N Memorial Dr, Prattville, AL 36066 | 2006-07-21 |
| Find all providers in zip 36066 | ||||
| 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 |
|---|---|---|---|---|
| 1669079943 | Diamond Dental Solutions | Dentist | 542 Mcqueen Smith Rd N, Prattville, AL 36066-5558 | 2020-10-08 |
| 1700400652 | Brandon Craig Veach | Dentist | 1831 Glynwood Dr, Prattville, AL 36066-5584 | 2020-06-05 |
| 1629549811 | New Beginnings Dental LLC | Dentist | 2481 Pinnacle Way, Prattville, AL 36066-6543 | 2018-12-16 |
| 1265805550 | Alabama Dental Professionals, PC | Dentist | 2489 Cobbs Ford Road, Prattville, AL 36066 | 2015-11-09 |
| 1235471426 | Autauga Station Dental, P.C. | Dentist | 1803 Station Dr, Suite A, Prattville, AL 36066-5668 | 2013-03-26 |
| 1609183979 | Robert Nathan Fife Jr. | Dentist | 1783 E Main St, Prattville, AL 36066-5562 | 2010-09-08 |
| 1548433329 | Kim P. Kornegay, Dmd | Dentist | 711 Kornegay Dr, Suite A, Prattville, AL 36066-7715 | 2008-04-11 |
| 1255501458 | Edwin R. Mullins | Dentist | 268 1st St., Prattville, AL 36067 | 2008-03-04 |
| 1295945772 | Charles S Tatum | Dentist | 597 S Memorial Dr, Prattville, AL 36067-3630 | 2007-05-23 |
| 1558489245 | Paul Dewitt Ellzey | Dentist | 1101 E Main St, Prattville, AL 36066-5625 | 2007-03-27 |
| Find all providers in PRATTVILLE | ||||
| City | PRATTVILLE |
| Zip Code | 36066 |
Please comment or provide details below to improve the information on GLYNWOOD PARK DENTAL CARE.
| 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.