Mountain Smiles - MST Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOUNTAIN SMILES - MST DENTAL PLLC

Practice address

4702 Misty Ridge Cir
Birmingham, AL 35235-8665

Phone

(205) 769-6238

NPI assigned

Mar 25, 2026

Organization subpart

No

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

Authorized official

Name

Angel Gimenez

Title

Credentialing Manager

Phone

(719) 300-5933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1265371561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 MISTY RIDGE CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358665",
            "telephone_number": "205-769-6238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 MISTY RIDGE CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358665",
            "telephone_number": "205-769-6238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SMILES - MST DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "GIMENEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kyle Mounger, DPT
• Conner Jay Mount
• Jordan Riley Mount, MD
• Mountain Brook Plastic Surgery and Laser Center
• Mountain Smiles - Advanced Endodontics PLLC
• Mountain Smiles - Trussville PLLC
• D John Mountz, M.D., PH.D.
• Tatevik Movsisyan, O.D.
• Esereoghene Mary D Mowoe, MD, MS
• Elizabeth Moxley, BCBA

• Dental Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.