DR. ROOSEVELT ALFONSO DANIEL DDS
NPI 1043344617
Dentist - General Practice in Montgomery, AL

Active since March 15, 2007
524 E EDGEMONT AVE, MONTGOMERY, AL 36111(334) 834-9647(334) 834-3716 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Roosevelt Alfonso Daniel Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROOSEVELT ALFONSO DANIEL DDS (NPI 1043344617) is an individual general practice provider in Montgomery, Alabama, licensed in Alabama (3328) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1043344617
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ROOSEVELT ALFONSO DANIELCredential: DDS
Location Address524 E EDGEMONT AVEMontgomery, AL 36111-1321
Mailing Address118 N Haardt DrMontgomery, AL 36105-1646 · (334) 834-4188 · Fax (334) 834-9647
Fax(334) 834-3716
Sole ProprietorYes
Enumeration DateMarch 15, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1043344617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in AL · 3328
Definition
A 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.
524 E EDGEMONT AVE, Montgomery, AL 36111

Other Identifiers 3

Medicaid000091556AL
Other51091556AL · Bcbsal
Medicare UPIN91556AL

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roosevelt Daniel's NPI number?

The NPI number for Roosevelt Daniel is 1043344617. It was assigned to this individual provider in the NPPES registry on March 15, 2007.

Where is Roosevelt Daniel located?

Roosevelt Daniel practices at 524 E Edgemont Ave, Montgomery, AL 36111. The listed phone number is (334) 834-9647.

What is Roosevelt Daniel's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Roosevelt Daniel accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and BEST Life and 14 other insurers list Roosevelt Daniel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Roosevelt Daniel was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.