CULLMAN ORTHODONTICS
NPI 1467025866
Dentist - Orthodontics and Dentofacial Orthopedics in Cullman, AL

Active since July 22, 2021
1907 MAIN AVE SW STE A, CULLMAN, AL 35055(256) 279-9852 Get Directions Write a Review

NPPES record last updated: September 12, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cullman Orthodontics NPPES

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

CULLMAN ORTHODONTICS (NPI 1467025866) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in Cullman, Alabama and active in the NPI registry since July 2021. The organization lists Mallory Samuelson, Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1467025866
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NamePDA ORTHO CULLMAN LLC
Location Address1907 MAIN AVE SW STE ACullman, AL 35055-5218
Mailing Address5564 Grove Blvd Ste AHoover, AL 35226-4601
Organization SubpartNo
Authorized OfficialMallory SamuelsonOperations Manager · (615) 631-9226
Enumeration DateJuly 22, 2021
Last NPPES UpdateSeptember 12, 2023
NPPES CertifiedSeptember 12, 2023
NPI 1467025866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
1907 MAIN AVE SW STE A, Cullman, AL 35055

Other Names 1

Doing Business AsCullman Orthodontics

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

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 Pda Ortho Cullman LLC's NPI number?

The NPI number for Pda Ortho Cullman LLC is 1467025866. It was assigned to this organization in the NPPES registry on July 22, 2021. The provider is doing business as Cullman Orthodontics.

Where is Pda Ortho Cullman LLC located?

Pda Ortho Cullman LLC is located at 1907 Main Ave SW Ste A, Cullman, AL 35055. The listed phone number is (256) 279-9852.

What is Pda Ortho Cullman LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Pda Ortho Cullman LLC was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.