OVER THE MOUNTAIN DENTISTRY – NPI #1639903842
Clinic/Center

OVER THE MOUNTAIN DENTISTRY is an AHC clinic located in MOUNTAIN BROOK, AL. NPPES has assigned the NPI number 1639903842 to OVER THE MOUNTAIN DENTISTRY on August 29, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “OVER THE MOUNTAIN DENTISTRY” is a dba name, the actual legal business name for this organization is ADVANCED DENTISTRY LLC. 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 last updated on Sep 17, 2024. 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 OVER THE MOUNTAIN DENTISTRY below.

NPI Profile for
ADVANCED DENTISTRY LLC

NPI Number
1639903842
Enumeration Date

(about 2 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
ADVANCED DENTISTRY LLC
Doing Business As (dba): OVER THE MOUNTAIN DENTISTRY
Primary location
2850 CAHABA RD STE 140
MOUNTAIN BROOK, AL 35223-2345
Phone: (205) 968-1296 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LUIS ABRAHANTE
DOCTOR
Phone: (205) 968-1296
Updated
Certification Date
Sep 17, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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)

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.