PEDIATRIC DENTAL CLINIC (NPI# 1861996035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861996035 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL CLINIC |
| Practice Address |
162 Ana Dr Florence AL 35630-1759 |
| Practice Telephone | 2567660270 |
| Practice Fax Number | 2567668328 |
| Mailing Telephone | 2567660270 |
| Mailing Fax Number | 2567668328 |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2018-03-21 |
| Authorized Official Name | DAVID MERRITT (DR.) |
| Authorized Official Telephone | 2567660270 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3267 | AL | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679897292 | Pediatric Dental Clinic | Dentist | 19255 Sw 65th Ave, Suite 250, Tualatin, OR 97062-7451 | 2010-03-25 |
| Street Address |
162 ANA DR |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-1759 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700921533 | David H Merritt | Dentist | 162 Ana Dr, Florence, AL 35630-1759 | 2007-02-20 |
| 1679196307 | The Pediatric Dental Clinic | Dentist | 162 Ana Dr, Florence, AL 35630-1759 | 2020-05-28 |
| 1104208651 | Carson Myles Cruise | Dentist | 162 Ana Dr, Florence, AL 35630-1759 | 2015-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| 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 |
|---|---|---|---|---|
| 1033775374 | Alex Mayes Young Dmd Pllc | Dentist | 7400 Us 42, Florence, KY 41042-1906 | 2019-05-13 |
| 1982975603 | Palmetto Pediatric Dentistry | Dentist | 605 W Palmetto St, Florence, SC 29501-4301 | 2012-01-26 |
| 1467528257 | Albert Bathiany Iv | Dentist | 7400 Hwy 42, Florence, KY 41042 | 2006-11-27 |
| 1437175114 | Robin Elizabeth Lents | Dentist | 640 Cox Creek Pkwy, Florence, AL 35630-1105 | 2006-07-14 |
| 1336173939 | Kimberly C. Elvington | Dentist | 680 Senior Way, Florence, SC 29505 | 2006-07-10 |
| 1316926173 | Richard H Bryant | Dentist | 1423 Alice Dr, Florence, SC 29505-2660 | 2006-01-11 |
| 1679196307 | The Pediatric Dental Clinic | Dentist | 162 Ana Dr, Florence, AL 35630-1759 | 2020-05-28 |
| 1245551027 | Florence Pediatric Dentistry | Dentist | 680 Senior Way, Florence, SC 29505 | 2010-06-16 |
| 1639334675 | Robert R Ross | Dentist | 6961 Burlington Pike, Florence, KY 41042-1618 | 2008-07-18 |
| 1316076516 | Pee Dee Pediatric Dentistry | Dentist | 1423 Alice Dr, Florence, SC 29505-2660 | 2007-03-05 |
| Find all providers in FLORENCE | ||||
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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.