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PDA OF TRUSSVILLE
NPI 1841046703
Dentist - Pediatric Dentistry in Trussville, AL

Active since April 30, 2024
4643 CAMP COLEMAN RD STE 101, TRUSSVILLE, AL 35173(678) 628-8303(256) 285-1485 Get Directions Write a Review

NPPES record last updated: May 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pda Of Trussville NPPES

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

PDA OF TRUSSVILLE (NPI 1841046703) is a healthcare organization registered as a pediatric dentistry in Trussville, Alabama and active in the NPI registry since April 2024. The organization lists Richard Baker Chambliss, Owner, as its authorized official.

NPPES Registry Identity

NPI1841046703
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePDA OF TRUSSVILLE
Location Address4643 CAMP COLEMAN RD STE 101Trussville, AL 35173-2838
Mailing Address50 Cropwell Dr Ste 2Pell City, AL 35128-7552 · (678) 628-8303 · Fax (256) 285-1485
Phone(678) 628-8303
Fax(256) 285-1485
Organization SubpartNo
Authorized OfficialRichard Baker ChamblissOwner · (205) 453-0314
Enumeration DateApril 30, 2024
Last NPPES UpdateMay 5, 2024
NPPES CertifiedMay 5, 2024
✔ NPI 1841046703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X
4643 CAMP COLEMAN RD STE 101, Trussville, AL 35173
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

TRUSSVILLE ORTHO LLC
Dentist (Orthodontics and Dentofacial Orthopedics)
4643 CAMP COLEMAN RD STE 101
TRUSSVILLE, AL 35173
Jefferson County (205) 537-3008
BROOKS ORTHODONTICS, PC
Dentist (Orthodontics and Dentofacial Orthopedics)
4643 CAMP COLEMAN RD STE 101
TRUSSVILLE, AL 35173
Jefferson County (205) 537-3008

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 Pda Of Trussville's NPI number?

The NPI number for Pda Of Trussville is 1841046703. It was assigned to this organization in the NPPES registry on April 30, 2024.

Where is Pda Of Trussville located?

Pda Of Trussville is located at 4643 Camp Coleman Rd Ste 101, Trussville, AL 35173. The listed phone number is (678) 628-8303.

What is Pda Of Trussville'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 Pda Of Trussville was last updated on May 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.