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PREMIERE DENTAL SPA AT MADISON
NPI 1659017838
Clinic/Center - Dental in Madison, AL

Active since May 10, 2022
102 ST LOUIS ST STE D, MADISON, AL 35758(256) 469-6428 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About PREMIERE DENTAL SPA AT MADISON

This page provides the complete NPI Profile along with additional information for Premiere Dental Spa At Madison, a provider established in Madison, Alabama operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1659017838 assigned on May 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Dr. Teneshia Earline Daniels Dds (Owner)

NPI
1659017838 Verify this NPI
Provider Name
PREMIERE DENTAL SPA AT MADISON
Entity Type
Organization
Location Address
102 ST LOUIS ST STE D MADISON, AL 35758
Location Phone
(256) 469-6428
Mailing Address
102 ST LOUIS ST STE D MADISON, AL 35758
Mailing Phone
(256) 469-6428
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-10-2022
Last Update Date
05-10-2022
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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

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

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. TENESHIA EARLINE DANIELS DDS

Authorized Official Title
OWNER
Authorized Official Phone
(256) 469-6428

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Frequently Asked Questions

What is PREMIERE DENTAL SPA AT MADISON's NPI number?

The NPI number assigned to this healthcare provider is 1659017838, enumerated as an "organization" on May 10, 2022.

Where is the provider located?

The provider is located at 102 ST LOUIS ST STE D MADISON, AL 35758 and the phone number is (256) 469-6428.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.