1. Home
  2. Directory
  3. Alabama
  4. Trussville
  5. Dentist
  6. NPI Profile

TRUSSVILLE PEDIATRIC DENTISTRY
NPI 1801077334
Dentist - Pediatric Dentistry in Trussville, AL

Active since November 27, 2007
123 N CHALKVILLE RD, STE 1, TRUSSVILLE, AL 35173(205) 655-1000(205) 655-7196 Get Directions Write a Review

NPPES record last updated: November 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Trussville Pediatric Dentistry NPPES

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

TRUSSVILLE PEDIATRIC DENTISTRY (NPI 1801077334) is a healthcare organization registered as a pediatric dentistry in Trussville, Alabama and active in the NPI registry since November 2007. The organization lists Thomas G Willingham, Owner, as its authorized official.

NPPES Registry Identity

NPI1801077334
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameTRUSSVILLE PEDIATRIC DENTISTRY
Location Address123 N CHALKVILLE RD, STE 1Trussville, AL 35173-1376
Mailing Address123 N Chalkville Rd, Ste 1Trussville, AL 35173-1376 · (205) 655-1000 · Fax (205) 655-7196
Phone(205) 655-1000
Fax(205) 655-7196
Organization SubpartNo
Authorized OfficialThomas G WillinghamOwner · (205) 655-1000
Enumeration DateNovember 27, 2007
Last NPPES UpdateNovember 19, 2009
✔ NPI 1801077334 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 · 5379
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.
123 N CHALKVILLE RD, Trussville, AL 35173
Open in Google Maps ↗

Other Identifiers 1

Medicaid559929290AL

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 3

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

PEDIATRIC DENTISTRY EAST, LLC
Dentist (Pediatric Dentistry)
123 N CHALKVILLE RD
TRUSSVILLE, AL 35173
Jefferson County (205) 655-1000
THOMAS GERALD WALKER D.M.D.
Dentist (General Practice)
123 N CHALKVILLE RD, SUITE # 2
TRUSSVILLE, AL 35173
Jefferson County (205) 655-8977
DR. THOMAS G. WILLINGHAM JR. D.M.D.
Dentist (Pediatric Dentistry)
123 N CHALKVILLE RD, SUITE 1
TRUSSVILLE, AL 35173
Jefferson County (205) 655-1000

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 Trussville Pediatric Dentistry's NPI number?

The NPI number for Trussville Pediatric Dentistry is 1801077334. It was assigned to this organization in the NPPES registry on November 27, 2007.

Where is Trussville Pediatric Dentistry located?

Trussville Pediatric Dentistry is located at 123 N Chalkville Rd Ste 1, Trussville, AL 35173. The listed phone number is (205) 655-1000.

What is Trussville Pediatric Dentistry'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 Trussville Pediatric Dentistry was last updated on November 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.