Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JASPER DENTAL, LLC
NPI 1366367385
Dentist - General Practice in Jasper, AL

Q: What is Jasper Dental, LLC's NPI number?

The NPI number for Jasper Dental, LLC is 1366367385. It was assigned to this organization in the NPPES registry on August 10, 2026.

Q: What is Jasper Dental, LLC's specialty?

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

Active since August 10, 2026

310 THE MALL WAY, JASPER, AL 35504(205) 221-5610 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

On this page

About Jasper Dental, Llc NPPES

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

JASPER DENTAL, LLC (NPI 1366367385) is a healthcare organization registered as a general practice in Jasper, Alabama and active in the NPI registry since August 2026. The organization lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1366367385

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJASPER DENTAL, LLC

Location Address310 THE MALL WAYJasper, AL 35504-7514

Mailing Address310 The Mall WayJasper, AL 35504-7514 · (205) 221-5610

Phone(205) 221-5610

Organization SubpartNo

Authorized OfficialChad HendricksCredentialing · (612) 859-0444

Enumeration DateAugust 10, 2026

NPPES CertifiedAugust 10, 2026

✔ NPI 1366367385 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.

310 THE MALL WAY, Jasper, AL 35504

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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.

MOUNTAIN SMILES - JASPER DENTAL PLLC

Clinic/Center (Dental)

310 THE MALL WAY
JASPER, AL 35504

Walker County (205) 221-5610

STONECREEK DENTAL OF ALABAMA,LLC

Clinic/Center (Dental)

310 THE MALL WAY
JASPER, AL 35504

Walker County (205) 221-5610

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 Jasper Dental, LLC's NPI number?

The NPI number for Jasper Dental, LLC is 1366367385. It was assigned to this organization in the NPPES registry on August 10, 2026.

Where is Jasper Dental, LLC located?

Jasper Dental, LLC is located at 310 The Mall Way, Jasper, AL 35504. The listed phone number is (205) 221-5610.

What is Jasper 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 Jasper Dental, LLC was last updated on August 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.