NPIMap

Organization Active NPI

Galleria Dental

  • Dentist
  • Hoover, AL
National Provider Identifier
1851757702
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5591 Issued in AL
Legal business name
GALLERIA DENTAL
Practice address
2801 Highway 150
Suite 175T
Hoover, AL 35244-4007
Phone
(205) 988-5858
Fax
(205) 988-5886
NPI assigned
Jan 7, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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

Authorized official

Name
Jeffrey Thomas Newdome, DMD
Title
Dentist
Phone
(205) 988-5858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 5591 AL Primary

Addresses

Primary practice location

2801 Highway 150
Suite 175T
Hoover, AL 35244-4007

Mailing address

2801 Highway 150
Suite 175T
Hoover, AL 35244-4007
Phone (205) 988-5858

Other names 1

  • Alabama Dental Holdings LLC Other name

National Provider Directory

National Provider Directory

Locations

2801 Hwy 150
Ste 175T
Hoover, AL 35244
Phone (205) 988-5858

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452124800000",
    "number": "1851757702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 HIGHWAY 150",
            "address_2": "SUITE 175T",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444007",
            "telephone_number": "205-988-5858",
            "fax_number": "205-988-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 HIGHWAY 150",
            "address_2": "SUITE 175T",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352444007",
            "telephone_number": "205-988-5858",
            "fax_number": "205-988-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLERIA DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A",
        "authorized_official_last_name": "NEWDOME",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "205-988-5858",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AL",
            "license": "5591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alabama Dental Holdings LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hoover, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.