Cypress Creek Dental, LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5854 Issued in AL

Legal business name

CYPRESS CREEK DENTAL, LLC

Practice address

3500 Cloverdale Rd
Florence, AL 35633-1302

Phone

(256) 766-2606

Fax

(256) 764-8502

NPI assigned

Feb 7, 2013

Last updated

Feb 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Tia Kennedy, D.M.D.

Title

Owner

Phone

(256) 766-2606

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.

• Lang Theodore Harp, D.M.D.

  • General Practice Dentistry
  • Florence, AL
  • NPI 1730252644
  NPD (past)

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

{
    "created_epoch": "1360195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360195200000",
    "number": "1861731085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 CLOVERDALE RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356331302",
            "telephone_number": "256-766-2606",
            "fax_number": "256-764-8502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYPRESS CREEK DENTAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-07",
        "last_updated": "2013-02-07",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-766-2606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "5854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Homer James Crittenden Jr.
• Miranda Lee Crittenden, RN
• Carson Myles Cruise, DMD
• Curt Abercrombie PC (Greenhill Family Dentistry)
• Jake Michael Curtis
• Ashley R Dailey, CPHT
• Sarah Dale, DMD
• Brady Alexander Daniel, CRNP
• Gary Wayne Daniel, M.D.
• Leslie Renee Daniel, LPC

• General Practice Dentistry in Florence, AL
• Providers in Florence, 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 Feb 7, 2013; 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.