RUSSELLVILLE FAMILY DENTISTRY LLC
NPI 1205543204
Dentist - General Practice in Russellville, AL

Active since October 31, 2022
510 ENGLE DR SE, RUSSELLVILLE, AL 35653(256) 332-6073(256) 332-6655 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russellville Family Dentistry Llc NPPES

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

RUSSELLVILLE FAMILY DENTISTRY LLC (NPI 1205543204) is a healthcare organization registered as a general practice in Russellville, Alabama and active in the NPI registry since October 2022. The organization lists Mike Mcleary, Dentist, as its authorized official.

NPPES Registry Identity

NPI1205543204
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameRUSSELLVILLE FAMILY DENTISTRY LLC
Location Address510 ENGLE DR SERussellville, AL 35653-2749
Mailing Address510 Engle Dr SeRussellville, AL 35653-2749 · (256) 332-6073 · Fax (256) 332-6655
Fax(256) 332-6655
Organization SubpartNo
Authorized OfficialMike MclearyDentist · (256) 332-6073
Enumeration DateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
NPI 1205543204 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.
510 ENGLE DR SE, Russellville, AL 35653

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 4

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

Dentist (General Practice)
510 ENGLE DR SE
RUSSELLVILLE, AL 35653
Clinic/Center (Dental)
510 ENGLE DR SE
RUSSELLVILLE, AL 35653
Dentist (General Practice)
510 ENGLE DR SE
RUSSELLVILLE, AL 35653
Dentist (General Practice)
510 ENGLE DR SE
RUSSELLVILLE, AL 35653

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 Russellville Family Dentistry LLC's NPI number?

The NPI number for Russellville Family Dentistry LLC is 1205543204. It was assigned to this organization in the NPPES registry on October 31, 2022.

Where is Russellville Family Dentistry LLC located?

Russellville Family Dentistry LLC is located at 510 Engle Dr SE, Russellville, AL 35653. The listed phone number is (256) 332-6073.

What is Russellville Family Dentistry 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 Russellville Family Dentistry LLC was last updated on October 31, 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.