PEDIATRIC DENTAL ASSOCIATES OF HOOVER, LLC
NPI 1043954647
Dentist - Pediatric Dentistry in Hoover, AL

Active since April 21, 2022
5336 STADIUM TRACE PKWY STE 112, HOOVER, AL 35244(205) 988-9678 Get Directions Write a Review

NPPES record last updated: April 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dental Associates Of Hoover, Llc NPPES

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

PEDIATRIC DENTAL ASSOCIATES OF HOOVER, LLC (NPI 1043954647), doing business as Pda Of Hoover, Llc, is a healthcare organization registered as a pediatric dentistry in Hoover, Alabama and active in the NPI registry since April 2022. The organization lists Benjamin Earl Samuelson, Orthodontist/owner, as its authorized official.

NPPES Registry Identity

NPI1043954647
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL ASSOCIATES OF HOOVER, LLC
Location Address5336 STADIUM TRACE PKWY STE 112Hoover, AL 35244-4581
Mailing Address5336 Stadium Trace Pkwy Ste 112Hoover, AL 35244-4581
Organization SubpartNo
Authorized OfficialBenjamin Earl SamuelsonOrthodontist/owner · (205) 910-0143
Enumeration DateApril 21, 2022
NPPES CertifiedApril 21, 2022
NPI 1043954647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
5336 STADIUM TRACE PKWY STE 112, Hoover, AL 35244

Other Names 1

Doing Business AsPda Of Hoover, Llc

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

Accepted Insurance

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 (Orthodontics and Dentofacial Orthopedics)
5336 STADIUM TRACE PKWY STE 112
HOOVER, AL 35244

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 Pediatric Dental Associates Of Hoover, LLC's NPI number?

The NPI number for Pediatric Dental Associates Of Hoover, LLC is 1043954647. It was assigned to this organization in the NPPES registry on April 21, 2022. The provider is doing business as PDA of Hoover, LLC.

Where is Pediatric Dental Associates Of Hoover, LLC located?

Pediatric Dental Associates Of Hoover, LLC is located at 5336 Stadium Trace Pkwy Ste 112, Hoover, AL 35244. The listed phone number is (205) 988-9678.

What is Pediatric Dental Associates Of Hoover, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Pediatric Dental Associates Of Hoover, LLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee list Pediatric Dental Associates Of Hoover, LLC 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 Pediatric Dental Associates Of Hoover, LLC was last updated on April 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.