PELHAM DENTAL, L.L.C. (NPI# 1821302563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821302563 |
| Entity Type | Organization |
| Organization Name | PELHAM DENTAL, L.L.C. |
| Practice Address |
2685 Pelham Pkwy Suite B Pelham AL 35124-1354 |
| Practice Telephone | 2052160522 |
| Practice Fax Number | 2052160520 |
| Mailing Telephone | 2052160522 |
| Mailing Fax Number | 2052160520 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2012-12-07 |
| Authorized Official Name | KAROL POCZATEK (DENTIST) |
| Authorized Official Telephone | 2052160522 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| Street Address |
2685 PELHAM PKWY SUITE B |
| City | PELHAM |
| State | AL |
| Zip Code | 35124-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578703062 | Cassidy Marie Nelson | Occupational Therapist | 2685 Pelham Pkwy, Suite C, Pelham, AL 35124-1354 | 2009-02-24 |
| 1669962106 | Alabama Health, LLC | Clinic/Center | 2685 Pelham Pkwy, Pelham, AL 35124-1354 | 2018-05-10 |
| 1841647906 | Megan Burchfield | Speech-Language Pathologist | 2685 Pelham Pkwy, Ste C, Pelham, AL 35124-1354 | 2016-05-18 |
| 1932582749 | Denton Dental of Pelham Dba Save-on | Dentist | 2685 Pelham Pkwy, Suite B, Pelham, AL 35124-1354 | 2015-06-30 |
| 1487078960 | Ladonna Cohen | Occupational Therapist | 2685 Pelham Pkwy, Suite C, Pelham, AL 35124-1354 | 2014-02-05 |
| 1639510282 | Lacey Loral Ellis | Physical Therapist | 2685 Pelham Pkwy, Suite C, Pelham, AL 35124-1354 | 2013-07-11 |
| 1558680413 | Tosha Aminah Gaines | Occupational Therapist | 2685 Pelham Pkwy, Suite C, Pelham, AL 35124-1354 | 2010-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881223162 | Pelham Internal Medicine LLC | Internal Medicine | 2156 Highway 52 East, Suite 100, Pelham, AL 35124 | 2020-04-07 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1376184598 | Benjamin Mcdaniel | Pharmacist | Wal Mart Pharmacy, 2181 Pelham Pkwy, Pelham, AL 35124 | 2019-09-30 |
| 1710545611 | Comfort Dental Care of Pelham LLC | Dentist | 102 Hilltop Business Center Dr, Pelham, AL 35124 | 2019-06-05 |
| 1285124875 | Alabama Tongue-tie Center Inc. | Dentist | 2480 Pelham Pkwy, Pelham, AL 35124 | 2018-05-18 |
| 1831690684 | Lori Ellen Gardner | Counselor | 201 Yeager Pkwy, Pelham, AL 35124 | 2018-02-27 |
| 1184146177 | Rural Urgent Care LLC | Clinic/Center | 300 Big Mountain Rd, Pelham, AL 35124 | 2017-07-11 |
| 1194246330 | Shelby County Health Dept Std | Public Health or Welfare | 2000 County Services Drive, Pelham, AL 35124 | 2017-06-28 |
| 1457804247 | Purifoy Adult Day Healthcare LLC | Clinic/Center | 8707 Helena Road, Pelham, AL 35124 | 2016-07-27 |
| 1700266475 | Thrive Behavioral Services, LLC | Behavioral Analyst | 3183 E Pelham Parkway, Pelham, AL 35124 | 2015-06-08 |
| Find all providers in zip 35124 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194087254 | Irina Kessler | Dentist | 87 Wolf's Lane, Pelham, NY 10803 | 2012-06-13 |
| 1528237252 | Alexander E Vaiman | Dentist | 87 Wolfs Ln, Pelham, NY 10803-1831 | 2008-02-27 |
| 1790900025 | Howard Mark Baskin | Dentist | 115 Fifth Ave, Pelham, NY 10803-1503 | 2007-04-13 |
| 1255489688 | Stanley Trocchia | Dentist | 235 Wolfs Ln, Pelham, NY 10803-1825 | 2007-01-08 |
| 1386791770 | Ann B. O'rear | Dentist | 2619 Pelham Pkwy, Pelham, AL 35124-1322 | 2007-01-05 |
| 1376631549 | Russell Turner | Dentist | 1973 Chandalar Dr, Pelham, AL 35124-1392 | 2006-10-11 |
| 1093808008 | Joseph J Giambrone | Dentist | 2657 Pelham Pkwy, Pelham, AL 35124-1389 | 2006-10-02 |
| 1164525374 | Keith Alan Dillard | Dentist | 9108 Helena Rd, Pelham, AL 35124-2739 | 2006-09-06 |
| 1588688311 | John Paul Pacia | Dentist | 580 Colonial Ave, Pelham, NY 10803-2120 | 2006-07-26 |
| 1487677753 | Kevin J. Falvey | Dentist | 620 Pelhamdale Ave, Pelham, NY 10803-2810 | 2006-07-26 |
| Find all providers in PELHAM | ||||
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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.