PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, LLC
NPI 1952774945
Dentist - Pediatric Dentistry in Birmingham, AL

Active since November 12, 2015
1613 11TH AVE S, BIRMINGHAM, AL 35205(205) 586-9922 Get Directions Write a Review

NPPES record last updated: November 12, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pediatric Dental Associates Of Birmingham, Llc NPPES

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

PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, LLC (NPI 1952774945) is a healthcare organization registered as a pediatric dentistry in Birmingham, Alabama and active in the NPI registry since November 2015. The organization lists Thomas G Willingham, Partner, as its authorized official.

NPPES Registry Identity

NPI1952774945
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NamePEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, LLC
Location Address1613 11TH AVE SBirmingham, AL 35205-4703
Mailing Address1613 11th Ave SBirmingham, AL 35205-4703 · (205) 586-9922
Organization SubpartNo
Authorized OfficialThomas G WillinghamPartner · (205) 586-9922
Enumeration DateNovember 12, 2015
NPI 1952774945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
1613 11TH AVE S, Birmingham, AL 35205

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 2

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

Dentist (Pediatric Dentistry)
1613 11TH AVE S
BIRMINGHAM, AL 35205
Dentist (Pediatric Dentistry)
1613 11TH AVE S
BIRMINGHAM, AL 35205

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 Pediatric Dental Associates Of Birmingham, LLC's NPI number?

The NPI number for Pediatric Dental Associates Of Birmingham, LLC is 1952774945. It was assigned to this organization in the NPPES registry on November 12, 2015.

Where is Pediatric Dental Associates Of Birmingham, LLC located?

Pediatric Dental Associates Of Birmingham, LLC is located at 1613 11th Ave S, Birmingham, AL 35205. The listed phone number is (205) 586-9922.

What is Pediatric Dental Associates Of Birmingham, 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 Pediatric Dental Associates Of Birmingham, LLC was last updated on November 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.