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

AUTAUGA DENTAL CARE, LLC
NPI 1629993647
Dentist - General Practice in Prattville, AL

Active since August 10, 2026
711 KORNEGAY DR, PRATTVILLE, AL 36066(334) 285-7111 Get Directions Write a Review

NPPES record added: August 10, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Autauga Dental Care, Llc NPPES

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

AUTAUGA DENTAL CARE, LLC (NPI 1629993647) is a healthcare organization registered as a general practice in Prattville, Alabama and active in the NPI registry since August 2026. The organization lists Chad Hendricks, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1629993647
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameAUTAUGA DENTAL CARE, LLC
Location Address711 KORNEGAY DRPrattville, AL 36066-7715
Mailing Address711 Kornegay DrPrattville, AL 36066-7715 · (334) 285-7111
Phone(334) 285-7111
Organization SubpartNo
Authorized OfficialChad HendricksCredentialing · (612) 859-0444
Enumeration DateAugust 10, 2026
NPPES CertifiedAugust 10, 2026
✔ NPI 1629993647 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.
711 KORNEGAY DR, Prattville, AL 36066
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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 5

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

STONECREEK DENTAL OF ALABAMA
Clinic/Center (Dental)
711 KORNEGAY DR
PRATTVILLE, AL 36066
Autauga County (334) 285-7111
DR. MARK B. TICKLE DMD
Dentist
711 KORNEGAY DR, SUITE A
PRATTVILLE, AL 36066
Autauga County (334) 285-7111
KIM P. KORNEGAY, DMD
Dentist (General Practice)
711 KORNEGAY DR, SUITE A
PRATTVILLE, AL 36066
Autauga County (334) 285-7111
JEAN JIANG DMD
Dentist (General Practice)
711 KORNEGAY DR
PRATTVILLE, AL 36066
Autauga County (334) 285-7111
WISE OMFS
Dentist (Oral and Maxillofacial Pathology)
711 KORNEGAY DR
PRATTVILLE, AL 36066
Autauga County (334) 285-7111

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 Autauga Dental Care, LLC's NPI number?

The NPI number for Autauga Dental Care, LLC is 1629993647. It was assigned to this organization in the NPPES registry on August 10, 2026.

Where is Autauga Dental Care, LLC located?

Autauga Dental Care, LLC is located at 711 Kornegay Dr, Prattville, AL 36066. The listed phone number is (334) 285-7111.

What is Autauga Dental Care, 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 Autauga Dental Care, 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 8 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.