Organization Active NPI

Smart Dental Holdings, LLC

  • Dental Clinic/Center
  • Hoover, AL
National Provider Identifier
1013435346
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMART DENTAL HOLDINGS, LLC
Practice address
4501 Southlake Pkwy
Hoover, AL 35244-3644
Phone
(205) 955-5656
NPI assigned
Sep 7, 2017
Organization subpart
Yes
Parent organization
MCCALLA FAMILY DENTISTRY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christie Knight
Title
Revenue Cycle Director
Phone
(205) 477-4242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4501 Southlake Pkwy
Hoover, AL 35244-3644

Mailing address

5751 Pocahontas Rd Ste a
Bessemer, AL 35022-5478
Phone (205) 477-4242

Other names 1

  • Southlake Dental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smart Dental Holdings LLC9 organizations share this tax ID, including this one
Part of
McCalla Family Dentistry PC

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

4501 Southlake Pkwy
Hoover, AL 35244
Phone (205) 955-5656

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593129600000",
    "number": "1013435346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5751 POCAHONTAS RD STE A",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225478",
            "telephone_number": "205-477-4242",
            "fax_number": "205-477-4243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 SOUTHLAKE PKWY",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352443644",
            "telephone_number": "205-955-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART DENTAL HOLDINGS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCALLA FAMILY DENTISTRY, PC",
        "enumeration_date": "2017-09-07",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "205-477-4242"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southlake Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.