Regional Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3308 Issued in AL

Legal business name

REGIONAL DENTAL CENTER

Practice address

505 Pelham Rd S
Jacksonville, AL 36265-2775

Phone

(256) 435-4464

Fax

(256) 435-2079

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. William Bruce Young, D.O

Title

Owner

Phone

(256) 435-4464

Specialties & licenses 1

Addresses

Other identifiers 4

Tax ID family

Regional Dental Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• William Bruce Young DMD

  • General Practice Dentistry
  • Jacksonville, AL
  • NPI 1114234010
  NPD tax ID

Locations

Practitioners 1

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

• Stephen Glover Rowe, DMD.

  • Dentist
  • Rainbow City, AL
  • NPI 1942570361
  NPD (past)

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1154748218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652775",
            "telephone_number": "256-435-4464",
            "fax_number": "256-435-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 PELHAM RD S",
            "city": "JACKSONVILLE",
            "state": "AL",
            "postal_code": "362652775",
            "telephone_number": "256-435-4464",
            "fax_number": "256-435-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRUCE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-435-4464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "3308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA",
            "identifier": "3308",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD OF ALABAMA",
            "identifier": "51097747",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000097747",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "793127",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Premier Hearing of Jacksonville
• Rodney Prickett
• QHG of Jacksonville Inc
• Rai Care Centers of Alabama, LLC
• Kelly Rampy, LCSW
• Regional Health Management Corporation
• Gary Phillip Rich
• Rise Primary Care, LLC
• Chloe Roberts
• Greta Romei

• General Practice Dentistry in Jacksonville, AL
• Providers in Jacksonville, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.