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SAND MOUNTAIN FAMILY DENTISTRY LLC
NPI 1790367126
Clinic/Center - Dental in Boaz, AL

Active since April 26, 2021
701 MEDICAL CENTER PKWY, BOAZ, AL 35957(205) 467-0387 Get Directions Write a Review

NPPES record last updated: May 19, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 19, 2021, Apr 26, 2021 (2 updates tracked since 2021).

About Sand Mountain Family Dentistry Llc NPPES

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

SAND MOUNTAIN FAMILY DENTISTRY LLC (NPI 1790367126) is a healthcare organization registered as a dental in Boaz, Alabama and active in the NPI registry since April 2021. The organization lists Brant Haynie, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1790367126
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSAND MOUNTAIN FAMILY DENTISTRY LLC
Location Address701 MEDICAL CENTER PKWYBoaz, AL 35957-5938
Mailing Address211 Dogwood CirGadsden, AL 35901-5601 · (205) 467-0387
Phone(205) 467-0387
Organization SubpartNo
Authorized OfficialBrant HaynieOwner/dentist · (205) 467-0387
Enumeration DateApril 26, 2021
Last NPPES UpdateMay 19, 20212 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1790367126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
701 MEDICAL CENTER PKWY, Boaz, AL 35957
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Other Identifiers 1

Medicaid171653AL

Other Providers at the Same Location NPPES 2

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

DR. MICHAEL E. WILLIAMSON D.M.D.
Dentist (General Practice)
701 MEDICAL CENTER PKWY
BOAZ, AL 35957
Marshall County (256) 593-3211
MICHAEL E. WILLIAMSON D.M.D, P.C.
Clinic/Center (Dental)
701 MEDICAL CENTER PKWY
BOAZ, AL 35957
Marshall County (256) 593-3211

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 Sand Mountain Family Dentistry LLC's NPI number?

The NPI number for Sand Mountain Family Dentistry LLC is 1790367126. It was assigned to this organization in the NPPES registry on April 26, 2021.

Where is Sand Mountain Family Dentistry LLC located?

Sand Mountain Family Dentistry LLC is located at 701 Medical Center Pkwy, Boaz, AL 35957. The listed phone number is (205) 467-0387.

What is Sand Mountain Family Dentistry LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Sand Mountain Family Dentistry LLC was last updated on May 19, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.