RED MOUNTAIN PEDIATRIC DENTISTRY (NPI# 1952934226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952934226 |
| Entity Type | Organization |
| Organization Name | RED MOUNTAIN PEDIATRIC DENTISTRY |
| Practice Address |
2836 Lakeshore Pkwy Birmingham AL 35211-5500 |
| Mailing Address |
4026 Newtown Ln Hoover AL 35226-6374 |
| Practice Telephone | 2055404970 |
| Mailing Telephone | 2055404970 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Authorized Official Name | DR. LAUREN PAUL DEAN (DENTIST) |
| Authorized Official Telephone | 2055404970 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| Street Address |
2836 LAKESHORE PKWY |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35211-5500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216123 | Tara Brown | Technician | 2007 Goldwire Trce, Birmington, AL 35211 | 2020-08-19 |
| 1477173318 | Jeffrey D. Cooney | Student in an Organized Health Care Education/Training Program | 833 Princeton Avenue Sw, Professional Office Bldg 3, Suite 200-e, Birmingham, AL 35211 | 2020-04-21 |
| 1982253852 | Josephine Cook | Technician | 1255 18th St Sw, Birmingham, AL 35211 | 2019-09-04 |
| 1154882322 | Stephen Jenkins | Registered Nurse | 701 Princeton Ave. Sw, Birmingham, AL 35211 | 2019-03-28 |
| 1780107052 | Negar Massah | Dentist | 2850 Venice Rd, Apt 1135, Birmingham, AL 35211 | 2017-07-19 |
| 1417075342 | Joseph Edward Mcjunkin | Pharmacist | 1308-tuscaloosa Ave.sw, Birmingham, AL 35211 | 2007-03-27 |
| 1669500880 | Prakash Chand Kansal | Internal Medicine | 801 Princeton Avenue, Pob 1, Suite 332., Birmingham, AL 35211 | 2007-03-01 |
| 1588717284 | Laquinta Johnson | Occupational Therapist | 420 10th St Sw, Birmingham, AL 35211 | 2007-01-18 |
| 1174613160 | Praveen Jetty | Psychiatry & Neurology | 401 Tuscaloosa Ave. S.w., Suite 110, Birmingham, AL 35211 | 2006-10-13 |
| 1326134180 | Yahya M Sabri | Obstetrics & Gynecology | 801 Princton Ave, Prof Office Bldg I Suite 332, Birmingham, AL 35211 | 2006-10-05 |
| Find all providers in zip 35211 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467085837 | Brooke Jordan Dds LLC | Clinic/Center | 101 Missionary Rdg Ste 101, Birmingham, AL 35242-5203 | 2020-02-13 |
| 1790275840 | Magic City Dentistry, PC | Clinic/Center | 2117 1st Ave N, Birmingham, AL 35203-4201 | 2018-05-15 |
| 1679075600 | Iron City Dentistry P.C. | Clinic/Center | 220 Walker Rd, Birmingham, AL 35214-3138 | 2018-03-06 |
| 1265946321 | Ronald Alyn Macbeth Dmd, LLC | Clinic/Center | 1045 Broadway Park, Suite 101, Birmingham, AL 35209-3520 | 2017-11-28 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1346769114 | Dr. Clark Thomas, PC | Clinic/Center | 721 Montclair Rd, Birmingham, AL 35213-1905 | 2017-09-13 |
| 1477894442 | Legacy Dental Group, PC | Clinic/Center | 950 S Old Woodward Ave Ste 200, Birmingham, MI 48009-6719 | 2013-03-15 |
| 1316296783 | Morgan Dentistry | Clinic/Center | 2512 D Rocky Ridge Road, Birmingham, AL 35243-2433 | 2012-08-31 |
| 1053669648 | Advance Dental, P.C. | Clinic/Center | 242 West Valley Avenue Suite 101, Birmingham, AL 35209-3635 | 2012-08-29 |
| 1255650115 | Caldwell Crossings Dentistry | Clinic/Center | 4516 Valleydale Road, Birmingham, AL 35242 | 2010-05-18 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35211 |
Please comment or provide details below to improve the information on RED MOUNTAIN PEDIATRIC 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.