PROSTHODONTICS DENTAL LABORATORY, INC. (NPI# 1245407154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245407154 |
| Entity Type | Organization |
| Organization Name | PROSTHODONTICS DENTAL LABORATORY, INC. |
| Practice Address |
2227 Drake Ave Sw Suite 10e Huntsville AL 35805-5199 |
| Practice Telephone | 2568807414 |
| Mailing Telephone | 2568807414 |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |
| Authorized Official Name | MR. ROBERT S MCCRACKEN (OWNER/MANAGER) |
| Authorized Official Telephone | 2568807414 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 292200000X | Dental Laboratory | 001448 | AL | Laboratories |
| Street Address |
2227 DRAKE AVE SW SUITE 10E |
| City | HUNTSVILLE |
| State | AL |
| Zip Code | 35805-5199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083604243 | Eddie G Gaines | Family Medicine | 2227 Drake Ave Sw, Huntsville, AL 35805-5199 | 2005-10-27 |
| 1598112336 | Center for Medical Diagnostics of Georgia | Rehabilitation Practitioner | 2227 Drake Ave Sw, Huntsville, AL 35805-5199 | 2016-05-23 |
| 1811142763 | Valley Center for Nerve Studies and Rehabilitation | Physical Medicine & Rehabilitation | 2227 Drake Ave Sw, Building 5, Huntsville, AL 35805-5199 | 2008-11-19 |
| 1922147289 | Talmadge Wade Liveoak | Dentist | 2227 Drake Ave Sw, Suite 10a, Huntsville, AL 35805 | 2007-02-05 |
| 1912058710 | Deborah Bates Liveoak | Dentist | 2227 Drake Ave Sw, Brahan Springs Professional Village Suite 10a, Huntsville, AL 35805 | 2007-01-16 |
| 1699854729 | William L Ingram | Dentist | 2227 Drake Ave Sw, Ste 10-b, Huntsville, AL 35805-5199 | 2006-11-02 |
| 1710060942 | Abc Pediatrics | Pediatrics | 2227 Drake Ave Sw, Suite 21, Huntsville, AL 35805-5199 | 2006-10-23 |
| 1215010459 | Eddie G Gaines Md PC | Family Medicine | 2227 Drake Ave Sw, Suite 6, Huntsville, AL 35805-5199 | 2006-10-23 |
| 1962582536 | Deborah S Bishop | Dentist | 2227 Drake Ave Sw, Suite 7-c, Huntsville, AL 35805-5199 | 2006-10-17 |
| 1801814157 | Liveoak Family Dentistry Inc. | Dentist | 2227 Drake Ave Sw, 10-a, Huntsville, AL 35805-5199 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295373264 | Kreative Kare In Home Services Inc | Driver | 2905 Westcorp Blvd Suite 213-d, Huntsville, AL 35805 | 2019-12-20 |
| 1871015479 | Kathryn Renee Garcia | Nurse Practitioner | 2806 Artie Street Sw, Unit 3, Huntsville, AL 35805 | 2017-07-14 |
| 1356885362 | Valley Spine and Pain LLC | Physical Medicine & Rehabilitation | 2227 Drake Ave Sw Ste 7b, Huntsville, AL 35805 | 2016-12-09 |
| 1518325612 | Candace Ann Hatcher | Speech-Language Pathologist | 411 Mcallister Drive Sw, Huntsville, AL 35805 | 2016-02-03 |
| 1073799862 | Landmark Chiropractic, Inc. | Chiropractor | 2400 Bob Wallas Avenue, Suite 101, Huntsville, AL 35805 | 2008-01-11 |
| 1245431501 | Sean Patrick Wallis | Chiropractor | 2915 Bob Wallace Ave Sw, Suite B, Huntsville, AL 35805 | 2007-05-31 |
| 1194937862 | Sara Mirza | Family Medicine | 500 Markaview Rd. Nw, Huntsville, AL 35805 | 2007-05-04 |
| 1548308679 | Claudia Elisabetta Agnew | Physician Assistant | 3601 Cci Dr., Huntsville, AL 35805 | 2007-02-01 |
| 1376613745 | North Alabama Pet Scan LLC | Radiologic Technologist | 3601 Cci Drive Nw, Huntsville, AL 35805 | 2006-11-09 |
| 1821028325 | Tracy Glen Bagwell | Chiropractor | 2227 Drake Avenue, Suite 13, Huntsville, AL 35805 | 2006-07-03 |
| Find all providers in zip 35805 | ||||
| Taxonomy Code | 292200000X |
| Grouping | Laboratories |
| Classification | Dental Laboratory |
| A commercial laboratory specializing in the construction of dental appliances that conform to a dentist’s specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. |
| Notes: Source: Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 1245. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902297690 | Aesthetic and Reconstructive Dentistry, LLC | Dental Laboratory | 1041 Balch Rd, Suite 180, Madison, AL 35758-8343 | 2015-02-17 |
| City | HUNTSVILLE |
| Zip Code | 35805 |
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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.