CHILDREN AND TEEN DENTAL GROUP OF ALABAMA (NPI# 1245709567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245709567 |
| Entity Type | Organization |
| Organization Name | CHILDREN AND TEEN DENTAL GROUP OF ALABAMA |
| Practice Address |
3825 Lorna Rd Ste 260 Hoover AL 35244-3005 |
| Mailing Address |
342 N Main St Ste 200 Alpharetta GA 30009-8376 |
| Practice Telephone | 2059889800 |
| Mailing Telephone | 7707444522 |
| Enumeration Date | 2018-11-15 |
| Last Update Date | 2018-11-15 |
| Authorized Official Name | CRYSTAL WALKER (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 7707444522 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508345828 | Children and Teen Dental Group of Alabama | Dentist | 1324 Main St, Gardendale, AL 35071-2496 | 2018-08-08 |
| 1285160804 | Children and Teen Dental Group of Alabama | Dentist | 1713 Hamric Dr E Ste C, Oxford, AL 36203 | 2017-05-02 |
| 1205295292 | Children and Teen Dental Group of Alabama | Dentist | 1825 Mcfarland Blvd N, Ste 260, Tuscaloosa, AL 35406-2251 | 2016-02-18 |
| 1679931950 | Children and Teen Dental Group of Alabama | Dentist | 221 Rice Mine Rd Ne, Tuscaloosa, AL 35406-2401 | 2016-02-02 |
| Street Address |
3825 LORNA RD STE 260 |
| City | HOOVER |
| State | AL |
| Zip Code | 35244-3005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720691991 | Husam Jebril | Pharmacist | 5445 Park Side Road, Hoover, AL 35244 | 2020-08-27 |
| 1588272546 | Tyana Thomas | Behavior Technician | 1820 Southpark Dr, Hoover, Al 35244, Hoover, AL 35244 | 2020-07-16 |
| 1912520115 | Magic City Physical Therapy | Home Health | 1217 Willow Leaf Circle, Birmingham, AL 35244 | 2020-05-21 |
| 1851941660 | Carehere LLC | Family Medicine | Carehere Clinic- Mercedes Hoover, 130 Riverchase Parkway East, Hoover, AL 35244 | 2019-09-13 |
| 1033690888 | Danielle Waldrep Rich | Speech-Language Pathologist | 605 Russet Lake Drive, Hoover, AL 35244 | 2018-08-28 |
| 1699253559 | Lauren M Martinez | Social Worker | 2524 Valleydale Rd. Suite 100, Birmingham, AL 35244 | 2018-08-02 |
| 1982110284 | Regenerative Medical Institute for Pain & Neuropathy, LLC | Plastic Surgery | 1849 Data Dr Ste 1, Hoover, AL 35244 | 2017-12-21 |
| 1891217014 | Kristen Michelle Woods | Counselor | 3825 Lorna Rd Ste 240, Birmingham, AL 35244 | 2017-07-10 |
| 1255868170 | Home Sweet Home Senior Care | Home Health | 1 Chase Corporate Drive, Suite 400, Birmingham, AL 35244 | 2017-05-23 |
| 1801347455 | Megan Sarah St John | Nurse Practitioner | 2321 Alabama Highway 150, Birmingham, AL 35244 | 2016-10-19 |
| Find all providers in zip 35244 | ||||
| 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 |
|---|---|---|---|---|
| 1982261616 | Smart Dental Holdings, LLC | Dentist | 4501 Southlake Pkwy Ste 100, Hoover, AL 35244-3646 | 2019-05-29 |
| 1659721587 | Gerald Dane Grovenstein Jr. | Dentist | 3139 Sawyer Dr, Hoover, AL 35226-7002 | 2016-06-22 |
| 1003297797 | The Crossings Dental Center | Dentist | 2318 John Hawkins Pkwy, Hoover, AL 35244-3515 | 2015-06-18 |
| 1497954986 | Neale Edward Rhea Jr. | Dentist | 2642 Old Rocky Ridge Rd, Hoover, AL 35216-4806 | 2007-07-13 |
| 1275655383 | Roleen Theola Bright | Dentist | 514 Crowne Reserve Dr, Hoover, AL 35244-7040 | 2007-04-06 |
| 1821125329 | Aaron Matthew Cook | Dentist | 2161 Clearbrook Rd, Hoover, AL 35226-1520 | 2007-02-28 |
| 1265520134 | James Drayton Smith IIi | Dentist | 4960 Valleydale Road, Suite 100, Hoover, AL 35242 | 2006-10-10 |
| 1659466928 | David Nider Hazouri IIi | Dentist | 2117 Data Park, Hoover, AL 35244 | 2006-10-04 |
| 1720171424 | Glenn Oren Stephens | Dentist | 2030 Patton Chapel Road, Hoover, AL 35216 | 2006-10-02 |
| 1245323203 | Acton Family Dentistry | Dentist | 2151 Old Rocky Ridge Road, Hoover, AL 35216 | 2006-10-02 |
| Find all providers in HOOVER | ||||
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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.