SOUTHERN COMFORT DENTAL ANESTHESIA
NPI 1609599349
Dentist - Dentist Anesthesiologist in Huntsville, AL

Active since September 19, 2022
4032 BALMORAL DR SW, HUNTSVILLE, AL 35801(720) 936-9168 Get Directions Write a Review

NPPES record last updated: September 26, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 26, 2022, Sep 19, 2022 (2 updates tracked since 2022).

  • Organization
  • Dentist
  • Dentist Anesthesiologist

About SOUTHERN COMFORT DENTAL ANESTHESIA

This page provides the complete NPI Profile along with additional information for Southern Comfort Dental Anesthesia, a provider established in Huntsville, Alabama operating as a Dentist, focusing in dentist anesthesiologist . The healthcare provider is registered in the NPI registry with number 1609599349 assigned on September 2022. The practitioner's primary taxonomy code is 1223D0004X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Paul Wilson Dmd (President)

NPI
1609599349 Verify this NPI
Provider Name
SOUTHERN COMFORT DENTAL ANESTHESIA
Entity Type
Organization
Location Address
4032 BALMORAL DR SW HUNTSVILLE, AL 35801
Location Phone
(720) 936-9168
Mailing Address
108 MEADOWGLADE LN MADISON, AL 35758
Mailing Phone
(720) 936-9168
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2022
Last Update Date
09-26-2022
Code Navigator

A dentist like Southern Comfort Dental Anesthesia is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist Dentist Anesthesiologist

Taxonomy Code
1223D0004X
Type
Dental Providers
Taxonomy Description
A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. PAUL WILSON DMD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(720) 936-9168

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Dentist (Periodontics)
4032 BALMORAL DR SW
HUNTSVILLE, AL 35801
Dentist (Periodontics)
4032 BALMORAL DR SW
HUNTSVILLE, AL 35801
Dentist (Dentist Anesthesiologist)
4032 BALMORAL DR SW
HUNTSVILLE, AL 35801

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609599349, enumerated as an "organization" on September 19, 2022.

The provider is located at 4032 BALMORAL DR SW HUNTSVILLE, AL 35801 and the phone number is (720) 936-9168.

Dentist with taxonomy code 1223D0004X and a focus in Dentist Anesthesiologist.