PIKE ROAD DENTAL, LLC – NPI #1053806331
Clinic/Center

PIKE ROAD DENTAL, LLC is an AHC clinic located in PIKE ROAD, AL. NPPES has assigned the NPI number 1053806331 to PIKE ROAD DENTAL, LLC on June 28, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on Jul 09, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PIKE ROAD DENTAL, LLC below.

NPI Profile for
PIKE ROAD DENTAL, LLC

NPI Number
1053806331
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
PIKE ROAD DENTAL, LLC
Primary location
31 BRIDGE ST
PIKE ROAD, AL 36064
Phone: (334) 819-7377 Fax: (334) 819-7379
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
YOLANDA WALTERS
OFFICE MANAGER
Phone: (334) 819-7377
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 AL 5159

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.