NPIMap

Organization Active NPI

G. Earl Hydrick, D.D.S.; P.a.

  • Dental Clinic/Center
  • Tuscaloosa, AL
National Provider Identifier
1770756496
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
3428 Issued in AL
Legal business name
G. EARL HYDRICK, D.D.S.; P.A.
Practice address
600 University Blvd E
Suite B-3
Tuscaloosa, AL 35401-2067
Phone
(205) 750-8008
Fax
(205) 750-8152
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. G Earl Hydrick, D.D.S.; P.A.
Title
President
Phone
(205) 750-8008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X 3428 AL Primary

Addresses

Primary practice location

600 University Blvd E
Suite B-3
Tuscaloosa, AL 35401-2067

Mailing address

600 University Blvd E
Suite B-3
Tuscaloosa, AL 35401-2067
Phone (205) 750-8008

Other identifiers 3

IdentifierTypeStateIssuer
510-76357OtherALBCBS OF AL.
604459OtherALUNITED CONCORDIA
510-93555OtherALBCBS OF AL.

Other names 1

  • The Smile Design Center Other name

National Provider Directory

National Provider Directory

Locations

600 University Blvd E
Ste B3
Tuscaloosa, AL 35401
Phone (205) 750-8008

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1770756496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD E",
            "address_2": "SUITE B-3",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012067",
            "telephone_number": "205-750-8008",
            "fax_number": "205-750-8152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 UNIVERSITY BLVD E",
            "address_2": "SUITE B-3",
            "city": "TUSCALOOSA",
            "state": "AL",
            "postal_code": "354012067",
            "telephone_number": "205-750-8008",
            "fax_number": "205-750-8152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. EARL HYDRICK, D.D.S.; P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "HYDRICK",
        "authorized_official_first_name": "G",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "205-750-8008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.; P.A."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "3428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL.",
            "identifier": "510-76357",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "604459",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL.",
            "identifier": "510-93555",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Smile Design Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tuscaloosa, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.