Organization Active NPI

Mountain Smiles - Montgomery Woods Crossing PLLC

  • Dental Clinic/Center
  • Montgomery, AL
National Provider Identifier
1114866415
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOUNTAIN SMILES - MONTGOMERY WOODS CROSSING PLLC
Practice address
4810 Woods Crossing Dr
Montgomery, AL 36106-3650
Phone
(334) 277-2424
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Angel Gimenez
Title
Credentialing Manager
Phone
(719) 300-5933

Specialties & licenses 1

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

Addresses

Primary practice location

4810 Woods Crossing Dr
Montgomery, AL 36106-3650

Mailing address

4810 Woods Crossing Dr
Montgomery, AL 36106-3650
Phone (334) 277-2424

National Provider Directory

National Provider Directory

Locations

4810 Woods Crossing Dr
Montgomery, AL 36106
Phone (334) 239-9316

NPI Registry JSON

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": "1114866415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4810 WOODS CROSSING DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063650",
            "telephone_number": "334-277-2424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4810 WOODS CROSSING DR",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361063650",
            "telephone_number": "334-277-2424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SMILES - MONTGOMERY WOODS CROSSING 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 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": []
}

Other providers in Montgomery, AL

Sources for this page

  • 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.