Camellia Dental Care LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

CAMELLIA DENTAL CARE LLC

Practice address

1800 McFarland Blvd N Ste 230
Tuscaloosa, AL 35406-2179

Phone

(205) 345-1136

NPI assigned

Jul 17, 2019

Organization subpart

No

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

Authorized official

Name

Timothy George Holland, MBA

Title

Chief Financial Officer

Phone

(205) 292-0036

Specialties & licenses 1

Addresses

Other names 1

• Camellia Dental Care LLC Doing business as

Locations

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

{
    "created_epoch": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1154974277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 PARKWOOD RD STE 109",
            "address_2": "#203",
            "city": "BESSEMER",
            "state": "AL",
            "postal_code": "350225691",
            "telephone_number": "205-292-0036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MCFARLAND BLVD N STE 230",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354062179",
            "telephone_number": "205-345-1136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMELLIA DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "HOLLAND",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "205-292-0036",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Camellia Dental Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaitlin Callaway
• Calloway
• Charice Calloway
• Camandjam LLC
• Valerie Camareno Collazo, MD
• Adrian Daren Cameron, LPTA
• Elizabeth Cameron
• Krystal M Cameron, R.PH.
• Ashleigh Ellison Camp, DNP
• Tracy Dawn Camp, CRNA

• Dentist in Tuscaloosa, AL
• Providers in Tuscaloosa, AL by specialty
• Dentist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.