NPIMap

Organization Active NPI

Kentros Dental LLC

Doing business as Pelham Dental Care

  • Dental Clinic/Center
  • Pelham, AL
National Provider Identifier
1477199511
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
KENTROS DENTAL LLC
Doing business as
Pelham Dental Care
Practice address
201 Amphitheater Rd
Pelham, AL 35124
Phone
(205) 663-6246
Fax
(205) 663-0242
NPI assigned
Nov 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Authorized official

Name
Nicholas KentrosNPI 1669826608
Title
Owner
Phone
(205) 937-0746

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

201 Amphitheater Rd
Pelham, AL 35124

Mailing address

201 Amphitheater Rd
Pelham, AL 35124
Phone (205) 663-6246

Other names 1

  • Pelham Dental Care Doing business as

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL pelhamdentalcare@outlook.com
Other URL pelhamdentalcare@outlook.com
Other URL pelhamdentalcare@outlook.com

National Provider Directory

National Provider Directory

Locations

201 Amphitheater Rd
Pelham, AL 35124

1973 Chandalar Dr
Pelham, AL 35124
Phone (205) 663-6246

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1477199511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 AMPHITHEATER RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-663-6246",
            "fax_number": "205-663-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AMPHITHEATER RD",
            "city": "PELHAM",
            "state": "AL",
            "postal_code": "35124",
            "telephone_number": "205-663-6246",
            "fax_number": "205-663-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENTROS DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "KENTROS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-937-0746"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pelhamdentalcare@outlook.com",
            "affiliation": "N",
            "endpointDescription": "office PRIVATE email",
            "address_1": "pelhamdentalcare@outlook.com",
            "address_2": "1973 Chandalar Drive",
            "city": "Pelham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pelhamdentalcare@outlook.com",
            "affiliation": "N",
            "endpointDescription": "office PRIVATE email",
            "address_1": "pelhamdentalcare@outlook.com",
            "address_2": "1973 Chandalar Drive",
            "city": "Pelham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pelhamdentalcare@outlook.com",
            "affiliation": "N",
            "endpointDescription": "office PRIVATE email",
            "address_1": "pelhamdentalcare@outlook.com",
            "address_2": "1973 Chandalar Drive",
            "city": "Pelham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "35124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Pelham Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pelham, AL

Sources for this page

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