Mountain Smiles - Trussville PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MOUNTAIN SMILES - TRUSSVILLE PLLC

Practice address

5590 Chalkville Rd Ste a
Birmingham, AL 35235-8637

Phone

(205) 853-3643

NPI assigned

Mar 26, 2026

Organization subpart

No

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

Authorized official

Name

Angel Gimenez

Title

Credentialing Manager

Phone

(719) 300-5933

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1972442887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5590 CHALKVILLE RD STE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358637",
            "telephone_number": "205-853-3643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5590 CHALKVILLE RD STE A",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352358637",
            "telephone_number": "205-853-3643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN SMILES - TRUSSVILLE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "GIMENEZ",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "CREDENTIALING 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": []
}

• Conner Jay Mount
• Jordan Riley Mount, MD
• Mountain Brook Plastic Surgery and Laser Center
• Mountain Smiles - Advanced Endodontics PLLC
• Mountain Smiles - MST Dental PLLC
• D John Mountz, M.D., PH.D.
• Tatevik Movsisyan, O.D.
• Esereoghene Mary D Mowoe, MD, MS
• Elizabeth Moxley, BCBA
• Mary Allyson Moxley, PHARM.D.

• Dental Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.