Balmoral Dental Center

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BALMORAL DENTAL CENTER

Practice address

4000 Balmoral Dr SW Ste 201
Huntsville, AL 35801-7432

Phone

(256) 429-3870

NPI assigned

Nov 11, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Angela Fennell, DMD

Title

Partner

Phone

(256) 429-3870

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katie Elaine Denney, DDS

  • General Practice Dentistry
  • Huntsville, AL
  • NPI 1619451051
  NPD (past)

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

{
    "created_epoch": "1478822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1336681063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 BALMORAL DR SW STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017432",
            "telephone_number": "256-429-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 BALMORAL DR SW STE 201",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358017432",
            "telephone_number": "256-429-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALMORAL DENTAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-11",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "FENNELL",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "256-429-3870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Roscher Balla, RN
• Carleigh Ballard-Sayonh, MSN, BSN, RN
• Walter Ballard
• Austin L Ballenger
• Janet Ballinger, C.R.N.P.
• Kelli Bane
• Danute Banelis, M.D.
• Mohammad Inass Banharally, M.D.
• Mohammad Sameer Mohammad Bani Amer, MD
• Omid Baniahmad, M.D.

• General Practice Dentistry in Huntsville, AL
• Providers in Huntsville, 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 Nov 11, 2016; 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.