Pediatric Dental Associates of Birmingham, LLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, LLC

Practice address

1613 11TH Ave S
Birmingham, AL 35205-4703

Phone

(205) 586-9922

NPI assigned

Nov 12, 2015

Last updated

Nov 12, 2015By 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. Thomas G Willingham Jr., DMD

Title

Partner

Phone

(205) 586-9922

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.

• Frederick B Smith, DMD

  • Pediatric Dentistry
  • Birmingham, AL
  • NPI 1295835338
  NPD (past)

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1952774945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1613 11TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054703",
            "telephone_number": "205-586-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 11TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352054703",
            "telephone_number": "205-586-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-12",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "WILLINGHAM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "205-586-9922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas A Peck, CRNA
• Valerie E. Peck, CRNA
• Pediatric & Adult Asthma and Allergy, P.C
• Pediatric and Adolescent Dentistry, LLC
• Pediatric Anesthesia Associates PC
• Pediatric Eye Care Specialists, LLC
• Pediatric Nephrology of Alabama, P.C.
• Pediatric Neuromotor Clinic
• Pediatric Preventative Medical Services
• Pediatric Radiology Associates PC

• Pediatric Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Pediatric Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2015; 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.