SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH INC (NPI# 1700115201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700115201 |
Entity Type | Organization |
Organization Name | SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH INC |
Practice Address |
310 W Elm St Athens AL 35611-4802 |
Mailing Address |
230 E 10th St Suite 106 Anniston AL 36207-5784 |
Practice Telephone | 2562620200 |
Practice Fax Number | 2562620201 |
Mailing Telephone | 2567417340 |
Mailing Fax Number | 2567417373 |
Enumeration Date | 2009-12-11 |
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 | 115249 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205312378 | Sarrell Regional Dental Center for Public Health Inc | Optometrist | 1572 Mill Sq, Alexander City, AL 35010-2674 | 2018-07-12 |
Street Address |
310 W ELM ST |
City | ATHENS |
State | AL |
Zip Code | 35611-4802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851434534 | Limestone County Health Dept Epsdt Cm | Case Management | 310 W Elm St, Athens, AL 35611-4802 | 2007-02-14 |
1508427030 | Bradee Sarah Aiyer | Dentist | 310 W Elm St, Athens, AL 35611-4802 | 2019-06-25 |
1952969859 | Larezia Denise Williams | Optometrist | 310 W Elm St, Athens, AL 35611-4802 | 2019-06-05 |
1912339706 | Brittany Paugh Parks | Dentist | 310 W Elm St, Athens, AL 35611-4802 | 2013-08-02 |
1306153184 | Sarrell Regional Dental Center for Public Health, Inc | Optometrist | 310 W Elm St, Athens, AL 35611 | 2010-09-01 |
1942335054 | State of Alabama Department of Public Health | Public Health or Welfare | 310 W Elm St, Athens, AL 35611-4802 | 2007-02-22 |
1477697472 | Limestone County Health Dept Pat 1st Cm | Case Management | 310 W Elm St, Athens, AL 35611-4802 | 2007-02-16 |
1245374065 | Limestone County Health Dept Fp Cm | Case Management | 310 W Elm St, Athens, AL 35611-4802 | 2007-02-16 |
1437293362 | Limestone County Health Dept Vfc Immun | Public Health or Welfare | 310 W Elm St, Athens, AL 35611-4802 | 2007-02-16 |
1518001353 | Limestone County Health Dept Prev Health Ed | Public Health or Welfare | 310 W Elm St, Athens, AL 35611-4802 | 2007-02-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164023529 | Aderholt Medical, LLC | Family Medicine | 320 Old Us-31 N, Athens, AL 35611 | 2020-11-03 |
1295333409 | Olivia Palmer | Nurse Practitioner | 770 W Market St, Athens, AL 35611 | 2020-10-12 |
1104467901 | Michael S Layman | Hearing Instrument Specialist | 809 Hwy 72 W., Steg, Suite G, Athens, AL 35611 | 2019-10-02 |
1508425901 | Courtney Rae Ringrose | Dentist | 1323 Us Highway 72 E, Athens, AL 35611 | 2019-06-10 |
1225585391 | Advantage Health Solutions,llc | Family Medicine | 707 West Market St Ste A, Athens, AL 35611 | 2016-09-07 |
1306293618 | Brady Aderholt | Nurse Practitioner | 411 N Houston St, Athens, AL 35611 | 2016-05-17 |
1891154647 | Hh Health System - Retail Pharmacy LLC | Pharmacy | 700 W. Market Street, Suite 100, Athens, AL 35611 | 2016-02-22 |
1790188779 | U Save Pharmacies LLC | Pharmacy | 1285 Hwy 72 E, Athens, AL 35611 | 2014-10-03 |
1497176564 | Hometown Pharmacy of Limestone County, LLC | Pharmacy | 100 Highway 31, Suite H, Athens, AL 35611 | 2013-12-17 |
1760819015 | William Todd Waggoner | Pharmacist | 104 Highway 31 North, Athens, AL 35611 | 2013-10-02 |
Find all providers in zip 35611 |
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 |
---|---|---|---|---|
1912040957 | Michelle Saylor Harmon | Dentist | 2470 Daniels Bridge Road, Building 200, Suite H, Athens, GA 30606 | 2007-02-15 |
1134449945 | Boozer-lindsey Pa | Dentist | 6300 State Highway 19 S, Athens, TX 75751-8966 | 2010-06-03 |
1013188929 | Athens Dentistry for Children | Dentist | 2470 Daniels Bridge Rd, Suite 231, Athens, GA 30606-6187 | 2008-03-19 |
1326179185 | Healthy Smiles | Dentist | 1010 Prince Ave, Suite 202 East, Athens, GA 30606-5805 | 2007-03-07 |
1003928698 | Jerry L Crawford | Dentist | 705 Oglethorpe Ave, Athens, GA 30606-2242 | 2006-08-31 |
1801869482 | Jennifer C. Wells | Dentist | 1010 Prince Ave, Ste. 202 E, Athens, GA 30606-5811 | 2006-02-13 |
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 |
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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.