Organization Active NPI

Silly Smiles PC

  • Pediatric Dentistry
  • Birmingham, AL
National Provider Identifier
1629464086
Registry record updated Apr 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SILLY SMILES PC
Practice address
628 Gadsden Hwy
Ste 201
Birmingham, AL 35235-2565
Phone
(205) 655-1000
Fax
(205) 228-8044
NPI assigned
Apr 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2015

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

Authorized official

Name
Dr. Thomas G Willingham Jr.
Title
Owner
Phone
(205) 655-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

628 Gadsden Hwy
Ste 201
Birmingham, AL 35235-2565

Mailing address

628 Gadsden Hwy
Ste 201
Birmingham, AL 35235-2565
Phone (205) 655-1000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428883200000",
    "number": "1629464086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "628 GADSDEN HWY",
            "address_2": "STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352565",
            "telephone_number": "205-655-1000",
            "fax_number": "205-228-8044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 GADSDEN HWY",
            "address_2": "STE 201",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352352565",
            "telephone_number": "205-655-1000",
            "fax_number": "205-228-8044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILLY SMILES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-13",
        "last_updated": "2015-04-13",
        "status": "A",
        "authorized_official_last_name": "WILLINGHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-655-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2015; 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.