LD HUNTSVILLE LLC


Address: 4240 Balmoral Dr Sw Ste 200, Huntsville, AL 35801-5633
Phone: 2568529878

LD HUNTSVILLE LLC (NPI# 1205454105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205454105
Entity Type Organization
Organization Name LD HUNTSVILLE LLC
Practice Address 4240 Balmoral Dr Sw Ste 200
Huntsville
AL 35801-5633
Mailing Address 306 Enterprise Dr
Oxford
MS 38655-2762
Practice Telephone 2568529878
Mailing Telephone 6627104244
Enumeration Date 2020-07-08
Last Update Date 2020-07-08
Authorized Official Name SHAWNA REYNOLDS (CHIEF OPERATING OFFICER)
Authorized Official Telephone 6627104244
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD0000X Clinic/Center
Specialization: Dental
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Life Dental Group Doing Business As Name - Organization

Office Location

Street Address 4240 BALMORAL DR SW STE 200
City HUNTSVILLE
State AL
Zip Code 35801-5633

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861987182 Junsup Lee Dentist 4240 Balmoral Dr Sw Ste 200, Huntsville, AL 35801-5633 2018-06-28

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003422742 Elena Mihaela Kruse Nurse Practitioner 415 Echurch St, Nw Suite 4, Huntsville, AL 35801 2020-09-18
1225657661 Ashley Danielle Ford Student in an Organized Health Care Education/Training Program 301 Governors Drive Se, Huntsville, AL 35801 2020-04-15
1407417702 Sasha J White Specialist 410 Governors Dr. Sw, Huntsville, AL 35801 2019-06-26
1003472978 Gina Marie Delgado Nurse Practitioner Huntsville Hospital Cvicu, 101 Sivley Rd., Huntsville, AL 35801 2019-05-15
1366909863 Lisa Starkey Suggs Nurse Practitioner 3500 Memorial Parkway S.w., Huntsville, AL 35801 2019-02-21
1902373277 Kelly S Fisher LLC Counselor 300 Clinton Avenue, Suite 22 A, Huntsville, AL 35801 2018-10-25
1073097911 Brittani B Hamrick Psychologist 203 Eastside Sq Ste C9, Huntsville, AL 35801 2018-09-17
1548748312 Jane O. Orton, Licsw, LLC Social Worker 120 Holmes Ave Ne, Huntsville, AL 35801 2018-08-02
1184100661 Regroup Psychological Services Psychologist 2006 Franklin St. Se, Suite 110, Huntsville, AL 35801 2018-07-17
1366968398 Bennett Brent Smith Physician Assistant 825 Adams St. Se, Huntsville, AL 35801 2017-08-22
Find all providers in zip 35801

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609417195 Rocket City Dental Clinic/Center 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 2019-10-05
1891359725 Huntsville Family Dental Clinic/Center 3301 Collard Rd, Huntsville, TX 77340-6418 2019-04-25
1467938555 Dan M. Luther, Dmd, PC Clinic/Center 2305 Whitesburg Dr Se, Huntsville, AL 35801-3819 2018-07-12
1497248975 Redstone Dental Clinic/Center 2288 Zierdt Rd, F, Huntsville, AL 35824 2018-06-11
1063900819 Huntsville West Dental, PC Clinic/Center 4710 University Dr Nw Ste L, Huntsville, AL 35816-3408 2018-04-27
1407279722 Dental Professionals On Whitesburg Clinic/Center 8315 Whitesburg Dr Se, Huntsville, AL 35802-3007 2014-01-22
1982950036 Tyson Dental, Inc Clinic/Center 1410 Paramount Dr Ste A, Huntsville, AL 35806-3010 2012-07-26
1710241724 North Alabama Prosthodontics, P.C. Clinic/Center 807 Regal Dr Sw, Huntsville, AL 35801-5604 2012-06-25
1427699917 Lily Flagg Dentistry Clinic/Center 112 Lily Flagg Rd Sw Ste A, Huntsville, AL 35802-3040 2019-10-05
1356853733 Dr.roy Mccray Clinic/Center 2510 Pulaski Pike Nw, Huntsville, AL 35810-3746 2017-10-25
Find all providers in HUNTSVILLE

Competitor

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City HUNTSVILLE
Zip Code 35801

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Dataset Information

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.

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