AESTHETIC AND RECONSTRUCTIVE DENTISTRY, LLC (NPI# 1902297690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902297690 |
| Entity Type | Organization |
| Organization Name | AESTHETIC AND RECONSTRUCTIVE DENTISTRY, LLC |
| Other Organization Name | MADISON PROSTHODONTICS: AESTHETIC AND RECONSTRUCTIVE DENTISTRY, LLC |
| Practice Address |
1041 Balch Rd Suite 180 Madison AL 35758-8343 |
| Practice Telephone | 2563193256 |
| Practice Fax Number | 2563193257 |
| Mailing Telephone | 2563193256 |
| Mailing Fax Number | 2563193257 |
| Enumeration Date | 2015-02-17 |
| Last Update Date | 2015-02-17 |
| Authorized Official Name | DR. CRAMIN PETER WILTZ II (SOLE MEMBER) |
| Authorized Official Telephone | 2563193256 |
| Authorized Official Credential | DMD, CDT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 292200000X | Dental Laboratory | 233720-00 | AL | Laboratories |
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
5928 | AL | Dental Providers |
| Other Name | Type Code |
|---|---|
| Madison Prosthodontics: Aesthetic and Reconstructive Dentistry, LLC | Doing Business As Name - Organization |
| Street Address |
1041 BALCH RD SUITE 180 |
| City | MADISON |
| State | AL |
| Zip Code | 35758-8343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588634083 | Patricia Barbara Gurczak | Internal Medicine | 1041 Balch Rd, Suite 350, Madison, AL 35758-8343 | 2006-01-25 |
| 1699210351 | Sarah Bible | Nurse Practitioner | 1041 Balch Rd, Suite 300, Madison, AL 35758-8820 | 2017-01-04 |
| 1396292041 | Integrity Family Care North Alabama LLC | Internal Medicine | 1041 Balch Rd, Suite 300, Madison, AL 35758-8820 | 2016-09-09 |
| 1346608080 | Ronald Dean Wilkins | Registered Nurse | 1041 Balch Rd, Suite 300, Madison, AL 35758-8820 | 2016-02-09 |
| 1003207796 | Precious Smiles Family Dentistry LLC | Dentist | 1041 Balch Rd, Suite 100, Madison, AL 35758-8343 | 2015-02-17 |
| 1962835553 | Cramin Peter Wiltz II | Dentist | 1041 Balch Rd, Suite 180, Madison, AL 35758-8343 | 2013-08-19 |
| 1548588387 | Caroline Schreeder | Surgery | 1041 Balch Rd, Suite 350, Madison, AL 35758-8343 | 2010-05-04 |
| 1720209935 | Katherine Koshofer | Physician Assistant | 1041 Balch Rd, Madison, AL 35758 | 2007-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487299277 | Hanging Lanes Christian Wellness Ministries and Counseling Center | Counselor | 650 Sun Temple Drive, Madison, AL 35758 | 2019-11-15 |
| 1104487396 | Caroline Thomas Estes | Occupational Therapist | 8475 Wann Drive, Madison, AL 35758 | 2019-06-27 |
| 1265902894 | Sharinne Summers Sears | Registered Nurse | 204 Grove Village Way, Madison, AL 35758 | 2018-11-27 |
| 1013484666 | Lori Pohly | Counselor | 190 Lime Quarry Road, Suite 212, Madison, AL 35758 | 2018-10-31 |
| 1174022297 | Rhonda Marie Stalb | Marriage & Family Therapist | 650 Sun Temple Dr Ste 101, Madison, AL 35758 | 2018-02-04 |
| 1528585932 | Alabama Dental Professionals, PC | Dentist | 7666 Highway 72 W, Madison, AL 35758 | 2017-08-25 |
| 1134658537 | Diane Bierbauer | Dietitian, Registered | 520 Thoreau Spring Ct, Madison, AL 35758 | 2017-06-08 |
| 1255870408 | Maggie Collins | Nurse Practitioner | 7559 U.S. 72, Madison, AL 35758 | 2017-02-21 |
| 1649648858 | Terry A. Burgess | Dentist | 810 Palmer Plaza, # 103, Madison, AL 35758 | 2015-09-03 |
| 1063896314 | Caswall C Harrigan Physician PC | Family Medicine | Madison Medical Plaza 540 Hughes Road, Suite 14, Madison, AL 35758 | 2015-07-16 |
| Find all providers in zip 35758 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871949107 | Alicia Estrella | Dentist | 406 Science Dr Ste 402, Madison, WI 53711-1068 | 2016-05-05 |
| 1972655736 | Harold Kolodney, Jr. | Dentist | 7728 Old Canton Rd, Suite B, Madison, MS 39110-6103 | 2007-01-18 |
| 1801989496 | Eric J Rasmussen | Dentist | 4002 Monona Dr, Madison, WI 53716-1138 | 2006-10-02 |
| 1366451171 | Prosthetic Dental Associates, Sc | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2006-08-08 |
| 1750674362 | Kelly Anorah Beck | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2011-05-16 |
| 1023262581 | Margaret Mary Farrell | Dentist | 303 Main St, Madison, NJ 07940-2338 | 2008-11-11 |
| 1154330967 | Paul Jeffry Correll | Dentist | 2725 Marshall Ct, Madison, WI 53705-2288 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083986533 | Ramakiran Venkata Chavali | Dentist | 127 Cahaba River Parc, Birmingham, AL 35243-3250 | 2012-01-30 |
| 1417250937 | Precision Dental | Dentist | 4730 Chace Cir, Hoover, AL 35244-3703 | 2010-12-07 |
| 1588822399 | Harold Keith Miller | Dentist | 2200 Valleydale Rd Ste 110, Hoover, AL 35244-2719 | 2008-05-29 |
| 1417088089 | Taylor Lee Crawford II | Dentist | 4216 Aurelia St, Mobile, AL 36609-2875 | 2007-03-08 |
| 1679602189 | Yung-tsung Hsu | Dentist | 1919 7th Ave S Rm 534, Birmingham, AL 35294-0001 | 2007-03-02 |
| 1508901414 | Luis Fernando Cabrera | Dentist | 3265 Cahaba Heights Rd, Birmingham, AL 35243 | 2007-02-20 |
| 1710036553 | Gregory Morando | Dentist | Us Army Dental Clinic Command, Innkeeper St. Building 4405, Fort Rucker, AL 36362 | 2007-01-10 |
| 1114092442 | Perng-ru Liu | Dentist | 2501 Crossgate Pl, Birmingham, AL 35216-3116 | 2006-11-21 |
| 1245303593 | Sandra Jean Oneal | Dentist | 1919 7th Ave South Sdb Box 538, Birmingham, AL 35294-0001 | 2006-11-16 |
| 1700960077 | Jerry W Reasner | Dentist | 924 Montclair Road, Suite 101, Birmingham, AL 35213 | 2006-10-24 |
| Find all providers with the same taxonomy | ||||
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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.