STONECREEK DENTAL OF ALABAMA (NPI# 1689217309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689217309 |
| Entity Type | Organization |
| Organization Name | STONECREEK DENTAL OF ALABAMA |
| Practice Address |
1840 Montclaire Dr Vestavia Hills AL 35216-1408 |
| Practice Telephone | 2058705445 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Authorized Official Name | VERONICA JACKSON (CREDENTIALING MANAGER) |
| Authorized Official Telephone | 2059191750 |
| Is Organization Subpart | Y |
| Parent Organization Name | STONECREEK DENTAL OF ALABAMA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | Dental Providers |
| Other Name | Type Code |
|---|---|
| StoneCreek Dental of Alabama | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 Broadway St, Birmingham, AL 352095312 | 2058705445 | |
| 1130 1st St N, Alabaster, AL 350078771 | 2058705445 | |
| 1633 Montgomery Hwy Ste 5, Vestavia Hills, AL 352164908 | 2058705445 | |
| 1901 Mulberry St, Montgomery, AL 361061626 | 2058705445 | |
| 2045 Brookwood Medical Ctr Dr Ste 22, Birmingham, AL 352096809 | 2058705445 | |
| 3940 Montclair Rd Ste 206, Mountain Brk, AL 352132416 | 2058705445 | |
| 4616 Montevallo Rd Ste 200, Irondale, AL 352103104 | 2058705445 | |
| 4810 Woods Crossing Dr, Montgomery, AL 361063650 | 2058705445 | |
| 5336 Stadium Trace Pkwy Ste 102, Hoover, AL 352444581 | 2058705445 | |
| 5590 Chalkville Mountain Road, Suite A, Birmingham, AL 35235 | 2058705445 | |
| 5750 Bentley Way, Trussville, AL 351736700 | 2058705445 | |
| 7224 Governors West Nw, Huntsville, AL 358062051 | 2058705445 | |
| 8301 Highway 31 N Ste 109, Morris, AL 351161301 | 2058705445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255981775 | Stonecreek Dental of Alabama | Dentist | 1841 Montclaire Ln, Vestavia Hills, AL 35216-1864 | 2019-09-17 |
| Street Address |
1840 MONTCLAIRE DR |
| City | VESTAVIA HILLS |
| State | AL |
| Zip Code | 35216-1408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942809843 | Jessica N Dieken | Counselor | 2659 Rocky Ridge Lane, Birmingham, AL 35216 | 2020-10-21 |
| 1013540376 | My Psychiatry Clinic, LLC | Psychiatry & Neurology | 2021 Shady Crest Dr. Suite 100, Hoover, AL 35216 | 2020-02-14 |
| 1811534928 | Tina Marie Sumpter | Counselor | 1776 Independence Court, Suite #103, Vestavia, AL 35216 | 2019-12-09 |
| 1013564285 | Octavia Elisa Bruce | Specialist | 808 Green Springs Hwy, Suite 124 Studio 4, Homewood, AL 35216 | 2019-08-22 |
| 1831657741 | Karen A. Genas | Counselor | 3812 Rime Village Dr., Hoover, AL 35216 | 2019-03-10 |
| 1538624564 | Stewart Counseling, LLC | Community/Behavioral Health | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2019-02-04 |
| 1699239509 | Heartsease Counseling Services LLC | Clinic/Center | 2231 Victory Ln., Suite 500, Hoover, AL 35216 | 2019-01-24 |
| 1205304276 | Jocelyn Stewart | Counselor | 2231 Victory Lane, Suite 500, Hoover, AL 35216 | 2018-11-08 |
| 1154835775 | Robert B. Connor Dmd, PC | Dentist | 1771 Independence Ct., Suite 1, Birmingham, AL 35216 | 2017-11-17 |
| 1093262594 | Jaime Pears | Speech-Language Pathologist | 3057 Lorna Road, Suite 220, Birmingham, AL 35216 | 2016-09-01 |
| Find all providers in zip 35216 | ||||
| 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 |
|---|---|---|---|---|
| 1740849983 | Mengyi Shi | Dentist | 2720 Massey Cir, Vestavia Hills, AL 35216-3658 | 2019-06-11 |
| 1295221885 | Morgan B Taylor | Dentist | 1598 Montgomery Hwy, Vestavia Hills, AL 35216-4525 | 2018-07-06 |
| 1245519545 | Rana W Ahmad | Dentist | 2816 Columbiana Rd, Vestavia Hills, AL 35216-2518 | 2011-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881292845 | Matthew Thomas Rurka | Dentist | 4685 Highway 17 Ste C, Helena, AL 35080-3560 | 2020-10-13 |
| 1760089619 | Daniel Brumley | Dentist | 3400 Montgomery Hwy Ste 1, Dothan, AL 36303-1270 | 2020-10-05 |
| 1457963787 | Carrie Ann Cochran | Dentist | 1995 Pepperell Pkwy Ste 1, Opelika, AL 36801-5460 | 2020-08-18 |
| 1689286254 | Rajdeepsinh Narendrasinh Dolia | Dentist | 12205 County Line Rd Ste A, Madison, AL 35758-7720 | 2020-08-17 |
| 1497365498 | Krina Patel | Dentist | 101 6th Ave Nw, Jasper, AL 35504-7486 | 2020-08-04 |
| 1992329700 | Forrest Hunter Harris | Dentist | 1551 E Trinity Blvd, Montgomery, AL 36106-3802 | 2020-06-08 |
| 1609499169 | Tanya Tamiki Hollinshed-miles | Dentist | 1304 Beech St, Montgomery, AL 36113-1002 | 2020-05-19 |
| 1891327904 | Vital Smiles Alabama II PC | Dentist | 809 Beltline Rd Sw Ste A, Decatur, AL 35601-6337 | 2020-02-06 |
| 1013558766 | Southern Smiles | Dentist | 2801 John Hawkins Pkwy Ste 175, Hoover, AL 35244-4007 | 2019-10-03 |
| 1811538754 | Affordable Dentures & Implants - Mobile, P.C. | Dentist | 4439 Rangeline Rd Ste A, Mobile, AL 36619-9551 | 2019-10-02 |
| Find all providers with the same taxonomy | ||||
| City | VESTAVIA HILLS |
| Zip Code | 35216 |
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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.