Thomas Adam Cole, D.M.D.
Individual provider Active NPI General Practice Dentistry · Athens, AL
NPI 1124258470 · NPPES record last updated Jul 21, 2009
Key facts
- NPI
- 1124258470
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 5676 (AL)
- Practice address
- 22051 US Highway 72
Suite F
Athens, AL 35613-2664 - Phone
- (256) 216-5610
- Fax
- (256) 216-5660
- NPI assigned
- Jul 21, 2009
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170220001664 | AL | Order and Referring Only - Dentist |
3779866629 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5676 | AL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cole Family Dental, P.C. | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 5676 | AL | Yes |
Addresses
Primary practice location
22051 US Highway 72
Suite F
Athens, AL 35613-2664
Mailing address
22051 US Highway 72
Suite F
Athens, AL 35613-2664
Phone (256) 216-5610
Other providers in Athens, AL
- Sharon Saunderson Coffey
- Manion Mitchell Coffman
- Bridget B Coker
- Cole Family Dental, P.C.
- Christopher Bunyan Cole
- Trecina J Cole
- Samantha Faye Colella
- Alan Wesley Coleman
- Rhawin I Coles
- Carmelia Collier
All providers in Athens, AL · General Practice Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.