Dental Associates of Childersburg LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL ASSOCIATES OF CHILDERSBURG LLC

Practice address

34011B US Highway 280
Childersburg, AL 35044-2128

Phone

(256) 378-3127

NPI assigned

Jan 16, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Gregory Hawkins, DMD

Title

Dentist

Phone

(256) 353-5600

Specialties & licenses 1

Addresses

Other names 1

• Dental Associates of Childersburg LLC Doing business as

Locations

Practitioners 1

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

• Jeffrey Scott Collins, DMD

  • General Practice Dentistry
  • Houston, TX
  • NPI 1740849256
  NPD (past)

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547596800000",
    "number": "1861966475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34011B US HIGHWAY 280",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350442128",
            "telephone_number": "256-378-3127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34011B US HIGHWAY 280",
            "city": "CHILDERSBURG",
            "state": "AL",
            "postal_code": "350442128",
            "telephone_number": "256-378-3127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL ASSOCIATES OF CHILDERSBURG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2019-01-16",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "GREGORY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "256-353-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Associates of Childersburg LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nikese D Coleman, MS, OTR/L
• Coosa Eye Associates, P.C.
• Duncan Crowder, PT
• Margaret B Crowder, PT
• Troy Hanson Dennis, D.M.D.
• Diabetic and Wound Care Management Services LLC
• Carol Dotson, PT
• Thomas Arthur Douyard, D.M.D.
• Daniel Edwards, DPT
• Molly Andrews Ellis, M.D.

• General Practice Dentistry in Childersburg, AL
• Providers in Childersburg, 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 Jan 16, 2019; 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.