Callyn Tedin, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6066 C1 Issued in AL

Practice address

129 1St St N
Alabaster, AL 35007

Phone

(205) 663-3612

NPI assigned

Jan 3, 2014

Last updated

Sep 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Callyn Tedin DMD PC

  • Dentist
  • Alabaster, AL
  • NPI 1407498819
  NPD Authorized official
• Mission Dental Mobile LLC

  dba Miles of Smiles

  • Dentist
  • Bessemer, AL
  • NPI 1205694932
  NPD (past)

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569283200000",
    "number": "1205257565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "129 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "350078757",
            "telephone_number": "205-663-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 1ST ST N",
            "city": "ALABASTER",
            "state": "AL",
            "postal_code": "35007",
            "telephone_number": "205-663-3612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 6th Ave N",
            "address_purpose": "LOCATION",
            "city": "Bessemer",
            "state": "AL",
            "postal_code": "350204849",
            "country_code": "US",
            "telephone_number": "205-434-2031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEDIN",
        "first_name": "CALLYN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2019-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6066 C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dorann Wilburn Tanner, LICSW
• Erin C Tanner, NP
• Noah Edward Tanner
• Dennis L Taylor Sr., LPC
• Steven Taylor, MD
• The Brain & Spine Center PC
• The Center for Pain of Montgomery LLC
• The Heights Counseling LLC
• The Medicine Chest Wellness Center Inc, Dba Integracare Pharmacy
• The Olive Branch Counseling Center LLC (Erica Wilson)

• General Practice Dentistry in Alabaster, AL
• Providers in Alabaster, 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 Sep 24, 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.