SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH,INC. (NPI# 1649392390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649392390 |
| Entity Type | Organization |
| Organization Name | SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH,INC. |
| Practice Address |
1004 South St E Talladega AL 35160-2621 |
| Mailing Address |
230 E 10th St Suite 106 Anniston AL 36207-5784 |
| Practice Telephone | 2563154940 |
| Practice Fax Number | 2563154943 |
| Mailing Telephone | 2567417340 |
| Mailing Fax Number | 2567417373 |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | TODD CRUSE (PRESIDENT) |
| Authorized Official Telephone | 6299995006 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | 529926140 | 05 |
| Street Address |
1004 SOUTH ST E |
| City | TALLADEGA |
| State | AL |
| Zip Code | 35160-2621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801368618 | Tracie Michelle Mitchell | Registered Nurse | 1004 South St E, Talladega, AL 35160-2621 | 2018-12-19 |
| 1801316161 | Talladega County Health Dept (talladega) Std | Public Health or Welfare | 1004 South St E, Talladega, AL 35160-2621 | 2017-06-27 |
| 1356762454 | Sarrell Dental and Eye Centers | Optometrist | 1004 South St E, Talladega, AL 35160-2621 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033719729 | Fci Talladega | Clinic/Center | 565 E. Renfroe Road, Telladega, AL 35160 | 2020-10-30 |
| 1689206740 | Robert Heuermann Md LLC | Surgery | 107 Patty Lane, Talladega, AL 35160 | 2020-02-06 |
| 1235799404 | Rehab and Wellness Clinic, LLC | Pain Medicine | 129 Stephen J White Blvd, Talladega, AL 35160 | 2019-06-19 |
| 1922579234 | Amanda Johnson | Social Worker | 701 Zellwood Cir, Talladega, AL 35160 | 2018-12-12 |
| 1588145544 | Allison Mcdill Williams | Nurse Practitioner | 1101 Stephen J White Memorial Boulevard, Talladega, AL 35160 | 2018-08-27 |
| 1780119073 | Rural Urgent Care LLC | Clinic/Center | 837 E Battle St, Talladega, AL 35160 | 2017-04-25 |
| 1750511432 | Uninibile O Odama | Internal Medicine | 210 North Street W, Suite D, Landmark Nephrology and Hypertension Clinic, Talladega, AL 35160 | 2009-07-16 |
| 1477708857 | Island Medical Troy Alabama LLC | Emergency Medicine | 604 Stone Avenue, Talladega, AL 35160 | 2008-11-26 |
| 1023284676 | Physicians Choice Dialysis of Calhoun County LLC | Clinic/Center | 805 North Street East, Talladega, AL 35160 | 2008-05-05 |
| 1942496575 | Renal Treatment Centers Southeast Lp | Clinic/Center | 726 Battle St E, Ste A, Talladega, AL 35160 | 2007-09-18 |
| Find all providers in zip 35160 | ||||
| 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 |
|---|---|---|---|---|
| 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 |
| 1225415771 | Oxford Pediatric Dental Associates LLC | Dentist | 1409 Hamric Dr E, Oxford, AL 36203-1933 | 2015-05-05 |
| 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 |
| 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.