Mountain Smiles - Jasper Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOUNTAIN SMILES - JASPER DENTAL PLLC

Practice address

310 The Mall Way
Jasper, AL 35504-7514

Phone

(205) 221-5610

NPI assigned

Mar 25, 2026

Organization subpart

No

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

Authorized official

Name

Angel Gimenez

Title

Credentialing Senior Manager

Phone

(719) 300-5933

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1043158355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 THE MALL WAY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047514",
            "telephone_number": "205-221-5610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 THE MALL WAY",
            "city": "JASPER",
            "state": "AL",
            "postal_code": "355047514",
            "telephone_number": "205-221-5610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SMILES - JASPER DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "GIMENEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CREDENTIALING SENIOR MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Morrison
• Darcy Matthews Mosley I, P.A.
• Jerry V Mosley, M.D.
• Lynn Liberte Mosley, P.T.
• Taylor Alvin Mosley, M.D.
• Autumn N Mummey, CRNP
• Monica Leann Muncher
• Tiffany Murphy
• Joe Charles Murray, RPH
• Dean Robert Naden, DO

• Dental Clinic/Center in Jasper, AL
• Providers in Jasper, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.