SMART DENTAL HOLDINGS, LLC (NPI# 1275808438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275808438 |
| Entity Type | Organization |
| Organization Name | SMART DENTAL HOLDINGS, LLC |
| Other Organization Name | CAHABA DENTAL |
| Practice Address |
223 Pierson Ave Centreville AL 35042-2919 |
| Mailing Address |
5751 Pocahontas Rd Suite A Bessemer AL 35022-5476 |
| Practice Telephone | 2059264404 |
| Mailing Telephone | 2059283094 |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2020-06-26 |
| Authorized Official Name | CHRISTIE KNIGHT (REVENUE CYCLE DIRECTOR) |
| Authorized Official Telephone | 2054774242 |
| Is Organization Subpart | Y |
| Parent Organization Name | MCCALLA FAMILY DENTISTRY, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 5345 | AL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Cahaba Dental | Doing Business As Name - Organization |
| Luma Dentistry Centreville | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346867389 | Smart Dental Holdings, LLC | Dentist | 925 Sharit Ave Ste 113, Gardendale, AL 35071-5001 | 2020-06-25 |
| 1982261616 | Smart Dental Holdings, LLC | Dentist | 4501 Southlake Pkwy Ste 100, Hoover, AL 35244-3646 | 2019-05-29 |
| 1043313281 | Smart Dental Holdings, LLC | Dentist | 5751 Pocahontas Road, Suite A, Bessemer, AL 35022-5478 | 2006-09-06 |
| 1679118889 | Smart Dental Holdings, LLC | Dentist | 22727 Highway 25, Columbiana, AL 35051-3529 | 2019-11-12 |
| 1053955955 | Smart Dental Holdings, LLC | Dentist | 22727 Highway 25, Columbiana, AL 35051-3529 | 2019-11-04 |
| 1164078051 | Smart Dental Holdings, LLC | Clinic/Center | 101 E 1st St, Sylacauga, AL 35150-2543 | 2019-08-15 |
| 1396399812 | Smart Dental Holdings, LLC | Clinic/Center | 101 E 1st St, Sylacauga, AL 35150-2543 | 2019-08-01 |
| 1417516477 | Smart Dental Holdings, LLC | Dentist | 980 Main St, Montevallo, AL 35115-3846 | 2019-06-12 |
| 1891354841 | Smart Dental Holdings, LLC | Dentist | 5751 Pocahontas Rd, Bessemer, AL 35022-5476 | 2019-06-12 |
| 1144889197 | Smart Dental Holdings, LLC | Dentist | 223 Pierson Ave, Centreville, AL 35042-2919 | 2019-06-12 |
| Street Address |
223 PIERSON AVE |
| City | CENTREVILLE |
| State | AL |
| Zip Code | 35042-2919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144889197 | Smart Dental Holdings, LLC | Dentist | 223 Pierson Ave, Centreville, AL 35042-2919 | 2019-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093058133 | Cahaba Medical Care Foundation | Clinic/Center | 294 Pierson Avenue, Centreville, AL 35042 | 2013-03-27 |
| 1548305139 | Melody Dawn Randolph | Pharmacist | 1130 Walnut Street, Centreville, AL 35042 | 2007-02-21 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| 1558855387 | Sajel Nuwamanya | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1912491838 | Paul Abraham | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1386138105 | Alexander Lea | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1831683747 | Whitney Hudman | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1639663453 | Julia Todd | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1891289716 | Mya Stayton | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-15 |
| 1548754419 | Malia Swanson | Student in an Organized Health Care Education/Training Program | 405 Belcher St, Centreville, AL 35042 | 2018-06-14 |
| Find all providers in zip 35042 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437687605 | Young Min Kim | Dentist | 5703 Centre Square Dr, Centreville, VA 20120 | 2017-05-31 |
| 1609158674 | Rena Thuman | Dentist | 14245-f Centreville Square, Centreville, VA 20121 | 2011-09-15 |
| 1740577717 | Jose I Aunon | Dentist | 6134 Redwood Square Ctr, Suite 202, Centreville, VA 20121-2642 | 2011-06-29 |
| 1841524568 | Jaewon Yoon | Dentist | 14631 Lee Hwy Ste 116, Centreville, VA 20121-5825 | 2009-09-28 |
| 1891926697 | Vladyslav Ovcharenko | Dentist | 13880 Braddock Rd Ste 109, Centreville, VA 20121-2460 | 2009-07-28 |
| 1811154529 | Luong-hung N Le | Dentist | 14637 Lee Hwy Ste 104, Centreville, VA 20121-5830 | 2008-05-20 |
| 1346433448 | Diego A Morales | Dentist | 5701 Centre Square Dr, Centreville, VA 20120-1916 | 2007-08-22 |
| 1356482657 | Kevin Michael Skinner | Dentist | 5651 Stone Rd, Centreville, VA 20120 | 2007-02-09 |
| 1295802932 | Jim J Soltani | Dentist | 6019 Centreville Crest Ln, Centreville, VA 20121 | 2006-11-29 |
| 1023127867 | Phil Adams | Dentist | 260 Walnut St., Centreville, AL 35042 | 2006-08-29 |
| Find all providers in CENTREVILLE | ||||
| City | CENTREVILLE |
| Zip Code | 35042 |
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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.