STONECREEK DENTAL OF ALABAMA
NPI 1003568411
Clinic/Center - Dental in Prattville, AL

NPI Status: Active since January 26, 2022

Contact Information

711 KORNEGAY DR
PRATTVILLE, AL
ZIP 36066
Phone: (334) 285-7111

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  • Organization
  • Clinic/Center
  • Dental
  • Accepts Insurance

About STONECREEK DENTAL OF ALABAMA

This page provides the complete NPI Profile along with additional information for Stonecreek Dental Of Alabama, a provider established in Prattville, Alabama operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1003568411 assigned on January 2022. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Veronica Jackson (Revenue Cycle Manager)

NPI
1003568411
Provider Name
STONECREEK DENTAL OF ALABAMA
Entity Type
Organization
Location Address
711 KORNEGAY DR PRATTVILLE, AL 36066
Location Phone
(334) 285-7111
Mailing Address
711 KORNEGAY DR PRATTVILLE, AL 36066
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-26-2022
Last Update Date
01-26-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Smile Now Arizona - No Waiting Period PPO - PPO
  • Smile Now Illinois - No Waiting Period PPO - PPO
  • Smile Now Michigan - No Waiting Period PPO - PPO
  • Smile Now Ohio - No Waiting Period PPO - PPO
  • Smile Now Tennessee - No Waiting Period PPO - PPO
  • Smile Now Texas- No Waiting Period Plan - PPO
  • Smile Now Utah - No Waiting Period PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

VERONICA JACKSON

Authorized Official Title
REVENUE CYCLE MANAGER
Authorized Official Phone
(205) 919-1750

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0000OTHER (01)NONE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003568411
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031061642
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 1 + 0 + 6 + 1 + 6 + 4 + 2 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 11

The NPI number 1003568411 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548433329KIM P. KORNEGAY, DMD
Organization
Dentist (General Practice)711 KORNEGAY DR SUITE A
PRATTVILLE, AL 36066
(334) 285-7111
1477886026DR. MARK B. TICKLE DMD
Individual
Dentist711 KORNEGAY DR SUITE A
PRATTVILLE, AL 36066
(334) 285-7111
1952158909WISE OMFS
Organization
Dentist (Oral and Maxillofacial Pathology)711 KORNEGAY DR
PRATTVILLE, AL 36066
(334) 285-7111
1689367864 JEAN JIANG DMD
Individual
Dentist (General Practice)711 KORNEGAY DR
PRATTVILLE, AL 36066
(334) 285-7111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003568411, enumerated in the NPI registry as an "organization" on January 26, 2022

The provider is located at 711 Kornegay Dr Prattville, Al 36066 and the phone number is (334) 285-7111

This medical organization specializes in Clinic/Center with taxonomy code 261QD0000X with a focus in Dental

The provider might be accepting Accepts: UnitedHealthcare, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on January 26, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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