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AZALEA CITY DENTAL, LLC
NPI 1053571364
Dentist - General Practice in Chickasaw, AL

Active since June 10, 2008
457 N CRAFT HWY, CHICKASAW, AL 36611(251) 456-8406(251) 456-8108 Get Directions Write a Review

NPPES record last updated: June 10, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Azalea City Dental, Llc NPPES

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

AZALEA CITY DENTAL, LLC (NPI 1053571364) is a healthcare organization registered as a general practice in Chickasaw, Alabama and active in the NPI registry since June 2008. The organization lists Cindy Black, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1053571364
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAZALEA CITY DENTAL, LLC
Location Address457 N CRAFT HWYChickasaw, AL 36611-1364
Mailing Address457 N Craft HwyChickasaw, AL 36611-1364 · (251) 456-8406 · Fax (251) 456-8108
Phone(251) 456-8406
Fax(251) 456-8108
Organization SubpartNo
Authorized OfficialCindy BlackOffice Manager · (251) 456-8406
Enumeration DateJune 10, 2008
✔ NPI 1053571364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
457 N CRAFT HWY, Chickasaw, AL 36611
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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 2

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

CHICKASAW FAMILY DENTAL
Clinic/Center (Dental)
457 N CRAFT HWY
CHICKASAW, AL 36611
Mobile County (251) 456-8406
SECD CHICKASAW
Clinic/Center (Dental)
457 N CRAFT HWY
CHICKASAW, AL 36611
Mobile County (251) 456-8406

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 Azalea City Dental, LLC's NPI number?

The NPI number for Azalea City Dental, LLC is 1053571364. It was assigned to this organization in the NPPES registry on June 10, 2008.

Where is Azalea City Dental, LLC located?

Azalea City Dental, LLC is located at 457 N Craft Hwy, Chickasaw, AL 36611. The listed phone number is (251) 456-8406.

What is Azalea City Dental, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Azalea City Dental, LLC was last updated on June 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.