Provider Demographics
NPI:1023615762
Name:SMART DENTAL HOLDINGS LLC
Entity type:Organization
Organization Name:SMART DENTAL HOLDINGS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REVENUE CYCLE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTIE
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-477-4242
Mailing Address - Street 1:5751 POCAHONTAS RD STE A
Mailing Address - Street 2:
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-5478
Mailing Address - Country:US
Mailing Address - Phone:205-477-4242
Mailing Address - Fax:205-477-4243
Practice Address - Street 1:4616 MONTEVALLO RD STE 100
Practice Address - Street 2:
Practice Address - City:IRONDALE
Practice Address - State:AL
Practice Address - Zip Code:35210-3104
Practice Address - Country:US
Practice Address - Phone:205-951-2191
Practice Address - Fax:205-951-2191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-06
Last Update Date:2020-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty