Organization Active NPI

Childersburg GR Dental, LLC

  • Dental Clinic/Center
  • Childersburg, AL
National Provider Identifier
1144726621
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D5959C1 Issued in AL
Legal business name
CHILDERSBURG GR DENTAL, LLC
Practice address
33044 US Highway 280
Childersburg, AL 35044-1896
Phone
(256) 378-3322
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Authorized official

Name
Thomas G Rice III, DMDNPI 1851647697
Title
Member
Phone
(706) 207-7133

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X
Dental Clinic/Center 261QD0000X D5959C1 AL Primary

Addresses

Primary practice location

33044 US Highway 280
Childersburg, AL 35044-1896

Mailing address

33044 US Highway 280
Childersburg, AL 35044-1896
Phone (256) 378-3322

Other names 1

  • 280 Dental Care Doing business as

National Provider Directory

National Provider Directory

Locations

33044 US Highway 280
Childersburg, AL 35044
Phone (256) 378-3322

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768435200000",
    "number": "1144726621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33044 US HIGHWAY 280",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441896",
            "telephone_number": "256-378-3322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33044 US HIGHWAY 280",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350441896",
            "telephone_number": "256-378-3322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDERSBURG GR DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A",
        "authorized_official_last_name": "RICE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "706-207-7133",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "D5959C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "280 Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Childersburg, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.