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SOUTHLAKE DENTAL CARE MANAGEMENT
NPI 1124472956
Dentist in Hoover, AL

Active since April 18, 2016
4501 SOUTHLAKE PKWY, HOOVER, AL 35244(205) 988-5656(205) 988-3972 Get Directions Write a Review

NPPES record last updated: April 18, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southlake Dental Care Management NPPES

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

SOUTHLAKE DENTAL CARE MANAGEMENT (NPI 1124472956) is a healthcare organization registered as a dentist in Hoover, Alabama and active in the NPI registry since April 2016. The organization lists Karol Medina Poczatek, Dentist, as its authorized official.

NPPES Registry Identity

NPI1124472956
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSOUTHLAKE DENTAL CARE MANAGEMENT
Location Address4501 SOUTHLAKE PKWYHoover, AL 35244-3644
Mailing Address4501 Southlake PkwyHoover, AL 35244-3644 · (205) 988-5656 · Fax (205) 988-3972
Phone(205) 988-5656
Fax(205) 988-3972
Organization SubpartNo
Authorized OfficialKarol Medina PoczatekDentist · (205) 988-5656
Enumeration DateApril 18, 2016
✔ NPI 1124472956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
Licenses✔ Licensed in AL · 5772✔ Licensed in AL · 3410✔ Licensed in AL · 4159✔ Licensed in AL · 5257✔ Licensed in AL · 51171✔ Licensed in AL · 6258✔ Licensed in AL · 5423
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.
4501 SOUTHLAKE PKWY, Hoover, AL 35244
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Other Identifiers 1

Medicaid126341AL

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

Other Providers at the Same Location NPPES 3

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

SMART DENTAL HOLDINGS, LLC
Clinic/Center (Dental)
4501 SOUTHLAKE PKWY
HOOVER, AL 35244
Shelby County (205) 955-5656
EMILY BLAKE M.S., CCC-SLP
Speech-Language Pathologist
4501 SOUTHLAKE PKWY, SUITE 200
HOOVER, AL 35244
Shelby County (205) 985-7393
MRS. MONICA S. FRANKLIN M.ED., CCC-SLP
Speech-Language Pathologist
4501 SOUTHLAKE PKWY, SUITE 200
BIRMINGHAM, AL 35244
Shelby County (205) 985-7393

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 Southlake Dental Care Management's NPI number?

The NPI number for Southlake Dental Care Management is 1124472956. It was assigned to this organization in the NPPES registry on April 18, 2016.

Where is Southlake Dental Care Management located?

Southlake Dental Care Management is located at 4501 Southlake Pkwy, Hoover, AL 35244. The listed phone number is (205) 988-5656.

What is Southlake Dental Care Management's specialty?

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

When was this NPI record last updated?

The NPPES record for Southlake Dental Care Management was last updated on April 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.