MILLBROOK DENTAL CARE (ALABAMA DENTAL PROFESSIONALS, PC) NPI 1023415254

Dentist (General Practice) in Millbrook, AL

NPI 1023415254 Organization Dentist General Practice

About MILLBROOK DENTAL CARE (ALABAMA DENTAL PROFESSIONALS, PC)

Millbrook Dental Care (alabama Dental Professionals, Pc) is a provider established in Millbrook, Alabama specializing in dentist (general practice) . The NPI number of Millbrook Dental Care (alabama Dental Professionals, Pc) is 1023415254 and was assigned on December 2014. The practitioner's primary taxonomy code is 1223G0001X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Millbrook Dental Care (alabama Dental Professionals, Pc) operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Millbrook Dental Care. The authorized official of this NPI record is Mrs. Kendra Walker (Credentialing Coordinator)

A dentist like Millbrook Dental Care is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1023415254

Provider NameMILLBROOK DENTAL CARE (ALABAMA DENTAL PROFESSIONALS, PC)
Provider Location Address4210 ALABAMA HIGHWAY MILLBROOK, AL 36054
Provider Mailing Address4210 ALABAMA HIGHWAY MILLBROOK, AL 36054
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Other Organization NameMILLBROOK DENTAL CARE
Other Name TypeDoing Business As (3)
Enumeration Date12-03-2014
Last Update Date04-25-2018


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
Taxonomy DescriptionA 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.

Business Address

MILLBROOK DENTAL CARE
4210 ALABAMA HIGHWAY
MILLBROOK, AL
ZIP 36054
Phone: (334) 285-6311
Fax: (334) 517-6149

Get Directions


Mailing Address

MILLBROOK DENTAL CARE
4210 ALABAMA HIGHWAY
MILLBROOK, AL
ZIP 36054
Phone: (334) 285-6311
Fax: (334) 517-6149



Authorized Official

Authorized Official NameMRS. KENDRA WALKER
Authorized Official TitleCREDENTIALING COORDINATOR
Authorized Official Phone(217) 540-8312

Group Taxonomy


193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.