CHILDREN AND TEEN DENTAL GROUP OF ALABAMA (NPI# 1285160804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285160804 |
| Entity Type | Organization |
| Organization Name | CHILDREN AND TEEN DENTAL GROUP OF ALABAMA |
| Practice Address |
1713 Hamric Dr E Ste C Oxford AL 36203 |
| Mailing Address |
342 N Main St Ste 200 Alpharetta GA 30009-8376 |
| Practice Telephone | 2562389233 |
| Mailing Telephone | 7707444581 |
| Enumeration Date | 2017-05-02 |
| Last Update Date | 2018-08-08 |
| Authorized Official Name | BRIAN SMITH (CFO) |
| Authorized Official Telephone | 7702315348 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245709567 | Children and Teen Dental Group of Alabama | Dentist | 3825 Lorna Rd Ste 260, Hoover, AL 35244-3005 | 2018-11-15 |
| 1508345828 | Children and Teen Dental Group of Alabama | Dentist | 1324 Main St, Gardendale, AL 35071-2496 | 2018-08-08 |
| 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 |
1713 HAMRIC DR E STE C |
| City | OXFORD |
| State | AL |
| Zip Code | 36203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972972792 | Andrew Garrett Havron | Dentist | 1713 Hamric Dr E Ste C, Oxford, AL 36203-2015 | 2015-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371375 | Brittany Mcevoy | Registered Nurse | 1477 Taylors Chapel Road, Oxford, AL 36203 | 2019-11-22 |
| 1154978500 | Anthony Quandrez Mckinney | Technician | 602 Lane Road, Oxford, AL 36203 | 2019-08-21 |
| 1619467289 | Carey Dillard Hill | Optometrist | Oxford Exchange, 800 Oxford Exchange Boulevard, Oxford, AL 36203 | 2018-05-18 |
| 1477084051 | Betsy Brittain Brittain | Speech-Language Pathologist | 1130 South Hale Street, Oxford, AL 36203 | 2017-03-24 |
| 1427504760 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 50 Commons Way, Suite D, Oxford, AL 36203 | 2016-08-28 |
| 1417372509 | Hala Shama Mourtada | Licensed Practical Nurse | 6213 Shannon Brook Lane, Oxford, AL 36203 | 2014-02-26 |
| 1821262429 | Stacey Smith Johnson | Dietitian, Registered | 96 Ali Way Creekside South, Oxford, AL 36203 | 2008-04-15 |
| 1831389832 | Natalie M Lindell | Internal Medicine | 6 Allen Parkway, Oxford, AL 36203 | 2007-07-26 |
| 1467679480 | Physicians Choice Dialysis of Oxford, LLC | Clinic/Center | 711 Snow Street, Oxford, AL 36203 | 2007-04-19 |
| 1720136443 | Keel and Associates | General Practice | 1612 Highway 78 East, Suite 100, Oxford, AL 36203 | 2007-01-08 |
| Find all providers in zip 36203 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225415771 | Oxford Pediatric Dental Associates LLC | Dentist | 1409 Hamric Dr E, Oxford, AL 36203-1933 | 2015-05-05 |
| 1386783983 | Jill Simon | Dentist | 318 Oxford Rd, Oxford, CT 06478-1644 | 2007-02-06 |
| 1770646598 | Oxford Dental Specialists | Dentist | 2408 S Lamar Blvd., Suite 1, Oxford, MS 38655 | 2006-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801423280 | Otm Pediatric Dentistry, LLC | Dentist | 521 Highway 31 S Ste 125, Vestavia Hills, AL 35216-1877 | 2020-03-25 |
| 1629602529 | Summit Smiles Pediatric Dentistry, LLC | Dentist | 3106 James Madison Dr E, Mobile, AL 36693-4060 | 2020-02-28 |
| 1316453210 | Liberty Park Children's Dentistry | Dentist | 1950 Stonegate Dr Ste 100, Vestavia Hls, AL 35242-2525 | 2017-12-14 |
| 1578091815 | Bush Pediatric Dentistry | Dentist | 4740 Woodmere Blvd, Montgomery, AL 36106-3065 | 2017-05-31 |
| 1013304310 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 805 N Mckenzie St, Suite C, Foley, AL 36535-3544 | 2015-04-24 |
| 1962813188 | Shelby Pediatric Dentistry, PC | Dentist | 2490 Pelham Parkway, Pelham, AL 35124 | 2014-05-09 |
| 1447681861 | Mobile Pediatric Dentistry | Dentist | 1105 Hillcrest Rd Ste B, Mobile, AL 36695-3921 | 2013-12-11 |
| 1659635712 | Natasha Varma | Dentist | 9807 Mcsara Ct, Spanish Fort, AL 36527-5461 | 2012-07-03 |
| 1407133978 | Sarrell Regional Dental Center for Public Health Inc. | Dentist | 1572 Mill Sq, Alexander City, AL 35010-3367 | 2011-11-10 |
| 1417240482 | Sarrell Regional Dental Center for Public Health, Inc. | Dentist | 1013 Medical Center Pkwy Ste 103, Selma, AL 36701-6742 | 2011-05-24 |
| Find all providers with the same taxonomy | ||||
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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.