PDA ORTHODONTICS TRUSSVILLE PLLC
NPI 1043815590
Dentist - Orthodontics and Dentofacial Orthopedics in Trussville, AL

Active since December 02, 2020
4901 DEERFOOT PKWY STE 101, TRUSSVILLE, AL 35173(205) 508-7135 Get Directions Write a Review

NPPES record last updated: December 2, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pda Orthodontics Trussville Pllc NPPES

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

PDA ORTHODONTICS TRUSSVILLE PLLC (NPI 1043815590), doing business as Trussville Pediatric Dentistry, is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Trussville, Alabama and active in the NPI registry since December 2020. The organization lists Benjamin Earl Samuelson, Owner/orthodontist, as its authorized official.

NPPES Registry Identity

NPI1043815590
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NamePDA ORTHODONTICS TRUSSVILLE PLLC
Location Address4901 DEERFOOT PKWY STE 101Trussville, AL 35173-2697
Mailing Address5336 Stadium Trace Pkwy Ste 112Hoover, AL 35244-4581 · (205) 988-9678 · Fax (205) 988-9065
Organization SubpartNo
Authorized OfficialBenjamin Earl SamuelsonOwner/orthodontist · (205) 910-0143
Enumeration DateDecember 2, 2020
NPPES CertifiedDecember 2, 2020
NPI 1043815590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
4901 DEERFOOT PKWY STE 101, Trussville, AL 35173

Other Names 1

Doing Business AsTrussville Pediatric Dentistry

Group Practice 1

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Pediatric Dentistry)
4901 DEERFOOT PKWY STE 101
TRUSSVILLE, AL 35173

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 Pda Orthodontics Trussville PLLC's NPI number?

The NPI number for Pda Orthodontics Trussville PLLC is 1043815590. It was assigned to this organization in the NPPES registry on December 2, 2020. The provider is doing business as Trussville Pediatric Dentistry.

Where is Pda Orthodontics Trussville PLLC located?

Pda Orthodontics Trussville PLLC is located at 4901 Deerfoot Pkwy Ste 101, Trussville, AL 35173. The listed phone number is (205) 508-7135.

What is Pda Orthodontics Trussville PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Pda Orthodontics Trussville PLLC was last updated on December 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.