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JASPER PEDIATRIC DENTISTRY, LLC
NPI 1649303355
Dentist - Pediatric Dentistry in Jasper, AL

Active since March 13, 2007
4330 HIGHWAY 78 E, SUITE 121, JASPER, AL 35501(205) 384-9104(205) 384-9102 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jasper Pediatric Dentistry, Llc NPPES

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

JASPER PEDIATRIC DENTISTRY, LLC (NPI 1649303355) is a healthcare organization registered as a pediatric dentistry in Jasper, Alabama and active in the NPI registry since March 2007. The organization lists Katrina Carol White, Owner, as its authorized official.

NPPES Registry Identity

NPI1649303355
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJASPER PEDIATRIC DENTISTRY, LLC
Location Address4330 HIGHWAY 78 E, SUITE 121Jasper, AL 35501-8905
Mailing Address4330 Highway 78 E, Suite 121Jasper, AL 35501-8905 · (205) 384-9104 · Fax (205) 384-9102
Phone(205) 384-9104
Fax(205) 384-9102
Organization SubpartNo
Authorized OfficialKatrina Carol WhiteOwner · (205) 384-9104
Enumeration DateMarch 13, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1649303355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in AL · 4967
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
4330 HIGHWAY 78 E, Jasper, AL 35501
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Other Identifiers 1

Other51506630AL · Blue Cross

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 9

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

DR. KATRINA CAROL WHITE DMD
Dentist (Pediatric Dentistry)
4330 HIGHWAY 78 E, SUITE 121
JASPER, AL 35501
Walker County (205) 384-9104
SOUTHEAST HOSPICE NETWORK, LLC
Hospice Care, Community Based
4330 HIGHWAY 78 E, SUITE 120-121
JASPER, AL 35501
Walker County (205) 387-2300
SOUTHERNCARE, INC
Hospice Care, Community Based
4330 HIGHWAY 78 E, SUITE 210 & 211
JASPER, AL 35501
Walker County (205) 387-0249
DR. CHARLES RANDLE DILLARD JR. DMD
Dentist (Endodontics)
4330 HIGHWAY 78 E, SUITE 200
JASPER, AL 35501
Walker County (202) 295-2992
MR. JEFFREY DALE BOYLES PT
Physical Therapist
4330 HIGHWAY 78 E, SUITE 208
JASPER, AL 35501
Walker County (205) 295-2434
JASPER MEDICAL SUPPLY, INC.
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
4330 HIGHWAY 78 E, SUITE 103
JASPER, AL 35501
Walker County (205) 295-0044
REBECCA BLACK
Speech-Language Pathologist
4330 HIGHWAY 78 E, SUITE 118
JASPER, AL 35501
Walker County (866) 537-5613
LORY CARLISLE AVSAR DMD
Dentist (Periodontics)
4330 HIGHWAY 78 E, SUITE 122
JASPER, AL 35501
Walker County (205) 221-1341

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 Pediatric Dentistry, LLC's NPI number?

The NPI number for Jasper Pediatric Dentistry, LLC is 1649303355. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Jasper Pediatric Dentistry, LLC located?

Jasper Pediatric Dentistry, LLC is located at 4330 Highway 78 E Suite 121, Jasper, AL 35501. The listed phone number is (205) 384-9104.

What is Jasper Pediatric Dentistry, LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Jasper Pediatric Dentistry, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.