J. SHANE ROBERTS FAMILY DENTISTRY (NPI# 1861910036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861910036 |
| Entity Type | Organization |
| Organization Name | J. SHANE ROBERTS FAMILY DENTISTRY |
| Practice Address |
904 4th St Pleasant Grove AL 35127-1059 |
| Mailing Address |
Po Box 445 Pleasant Grove AL 35127-0445 |
| Practice Telephone | 2057444258 |
| Practice Fax Number | 2057444255 |
| Mailing Telephone | 2057444258 |
| Mailing Fax Number | 2057444255 |
| Enumeration Date | 2017-09-07 |
| Last Update Date | 2017-09-07 |
| Authorized Official Name | DR. JERRY SHANE ROBERTS (DENTIST) |
| Authorized Official Telephone | 2057444258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
4013 | AL | Ambulatory Health Care Facilities |
| Street Address |
904 4TH ST |
| City | PLEASANT GROVE |
| State | AL |
| Zip Code | 35127-1059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710195466 | J Shane Roberts | Dentist | 904 4th St, Pleasant Grove, AL 35127-1059 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972642791 | Ronald Fred Ivie | Chiropractor | 47a Park Road, Pleasant City, AL 35127 | 2007-02-06 |
| 1568538551 | Curtis Abercrombie | Dentist | 114 E Brookwood Road, Midfield, AL 35127 | 2006-11-28 |
| 1245348663 | Ray Merrill IIi | Dentist | 901 4th St, Pleasant Grove, AL 35127-1060 | 2006-08-27 |
| 1568799450 | Ebony Watkins Pollard | Pharmacist | 922 4th Way, Pleasant Grove, AL 35127-1326 | 2009-11-12 |
| 1720552284 | Wynnter Springs Private Home Care, LLP | Respite Care | 956 6th St, Pleasant Grove, AL 35127-1506 | 2019-01-17 |
| 1033563648 | Dorothy Lavender | Nurse Practitioner | 424 Newberry Dr, Pleasant Grove, AL 35127-1626 | 2016-04-20 |
| 1891058152 | Mills Pharmacy At Pleasant Grove LLC | Pharmacy | 847 Park Rd Ste A, Pleasant Grove, AL 35127-1676 | 2012-06-21 |
| 1568783017 | Tara Jernigan Wheeler | Dentist | 520 2nd Ave, Pleasant Grove, AL 35127-1757 | 2010-06-18 |
| 1497858112 | Alabama Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 108 Park Rd, Pleasant Grove, AL 35127-1805 | 2006-09-07 |
| 1598921322 | Susan L. Skipper | Pharmacist | 108 Park Rd, Pleasant Grove, AL 35127-1805 | 2008-07-31 |
| Find all providers in zip 35127 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508407230 | Aa Dental LLP | Clinic/Center | 597 S Pleasant Grove Blvd Ste 12, Pleasant Grove, UT 84062-3070 | 2019-10-03 |
| 1528566494 | Grove Creek Dental | Clinic/Center | 238 E State Rd Ste 2, Pleasant Grove, UT 84062-3621 | 2018-01-25 |
| 1427364801 | Blake Dental P.C. | Clinic/Center | 198 S Main St, Pleasant Grove, UT 84062-2631 | 2010-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871192476 | Jacob L Turner Dmd PC | Clinic/Center | 100 A Andrew Street, Albertville, AL 35950 | 2020-10-23 |
| 1538775150 | Grants Mill Family Dentistry, LLC | Clinic/Center | 1024 Grants Mill Rd, Irondale, AL 35210-2108 | 2020-09-18 |
| 1164035341 | William M Colburn Dmd PC | Clinic/Center | 2810 20th Ave Ste A, Northport, AL 35476-3835 | 2020-08-26 |
| 1689295339 | Liles Family Dentistry, LLC | Clinic/Center | 2234 Ogletree Village Ln, Auburn, AL 36830-2967 | 2020-05-05 |
| 1184251100 | Big Wave Dentistry LLC | Clinic/Center | 110 S Alston St, Foley, AL 36535-1912 | 2020-03-27 |
| 1952934226 | Red Mountain Pediatric Dentistry | Clinic/Center | 2836 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-02-14 |
| 1467085837 | Brooke Jordan Dds LLC | Clinic/Center | 101 Missionary Rdg Ste 101, Birmingham, AL 35242-5203 | 2020-02-13 |
| 1881225829 | Bell Road Dentistry LLC | Clinic/Center | 2642 Bell Rd, Montgomery, AL 36117-4375 | 2020-01-29 |
| 1477199511 | Kentros Dental LLC | Clinic/Center | [email protected], 1973 Chandalar Drive, Pelham, AL 35124 | 2019-11-25 |
| 1609417195 | Rocket City Dental | Clinic/Center | 112 Lily Flagg Rd Sw Ste B, Huntsville, AL 35802-3040 | 2019-10-05 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT GROVE |
| Zip Code | 35127 |
Please comment or provide details below to improve the information on J. SHANE ROBERTS FAMILY DENTISTRY.
| 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.