Organization Active NPI

Mountain Smiles - Mountain Brook Dental Care PLLC

  • Dental Clinic/Center
  • Mountain BRK, AL
National Provider Identifier
1891633103
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MOUNTAIN SMILES - MOUNTAIN BROOK DENTAL CARE PLLC
Practice address
3928 Montclair Rd Ste 120
Mountain BRK, AL 35213-2415
Phone
(205) 871-2302
NPI assigned
Mar 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Angel Gimenez
Title
Credentialing Senior Manager
Phone
(719) 300-5933

Specialties & licenses 1

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

Addresses

Primary practice location

3928 Montclair Rd Ste 120
Mountain BRK, AL 35213-2415

Mailing address

3928 Montclair Rd Ste 120
Mountain BRK, AL 35213-2415
Phone (205) 871-2302

National Provider Directory

National Provider Directory

Locations

3928 Montclair Rd
Ste 120
Mountain Brk, AL 35213
Phone (205) 871-2302

Practitioners & affiliated clinicians

Practitioners 1

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": "1774396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1891633103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 MONTCLAIR RD STE 120",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132415",
            "telephone_number": "205-871-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 MONTCLAIR RD STE 120",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132415",
            "telephone_number": "205-871-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SMILES - MOUNTAIN BROOK DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-25",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "GIMENEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CREDENTIALING SENIOR MANAGER",
        "authorized_official_telephone_number": "719-300-5933"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.