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SRD ATHENS
NPI 1053029116
Dentist in Athens, AL

Active since November 08, 2022
22026 GATEWAY BLVD, SUITES A, ATHENS, AL 35613(256) 383-8037 Get Directions Write a Review

NPPES record last updated: November 22, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 22, 2022, Nov 8, 2022 (2 updates tracked since 2022).

About Srd Athens NPPES

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

SRD ATHENS (NPI 1053029116) is a healthcare organization registered as a dentist in Athens, Alabama and active in the NPI registry since November 2022. The organization lists Christyn Shields, Controller, as its authorized official.

NPPES Registry Identity

NPI1053029116
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSRD ATHENS, PLLC
Location Address22026 GATEWAY BLVD, SUITES AAthens, AL 35613
Mailing Address110 E 5th StTuscumbia, AL 35674-2410 · (256) 383-4990 · Fax (265) 383-2182
Phone(256) 383-8037
Organization SubpartNo
Authorized OfficialChristyn ShieldsController · (256) 320-5903
Enumeration DateNovember 8, 2022
Last NPPES UpdateNovember 22, 20222 updates tracked since enumeration
NPPES CertifiedNovember 15, 2022
✔ NPI 1053029116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
22026 GATEWAY BLVD, Athens, AL 35613
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Other Names 1

Doing Business AsSrd Athens

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Magnolia Health, Ambetter Health, Ambetter of Alabama and more.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 Srd Athens, PLLC's NPI number?

The NPI number for Srd Athens, PLLC is 1053029116. It was assigned to this organization in the NPPES registry on November 8, 2022. The provider is doing business as Srd Athens.

Where is Srd Athens, PLLC located?

Srd Athens, PLLC is located at 22026 Gateway Blvd Suites A, Athens, AL 35613. The listed phone number is (256) 383-8037.

What is Srd Athens, PLLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

What insurance does Srd Athens, PLLC accept?

Health plans from Ambetter Health, Ambetter from Magnolia Health, Ambetter of Alabama, Ambetter of Tennessee and UnitedHealthcare list Srd Athens, PLLC 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 Srd Athens, PLLC was last updated on November 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.