NPI 1043158355
Mountain Smiles - Jasper Dental PLLC
Practice location
- Address
- 310 the Mall Way, Jasper, AL 35504-7514
- Phone
- (205) 221-5610
Authorised official
- Name
- Angel Gimenez
- Title
- Credentialing Senior Manager
- Phone
- (719) 300-5933
Registered specialties
Dental Clinic/Center
Primary
Registry record
- NPI
- 1043158355
- Entity type
- Organization
- NPI issued
- 25 Mar 2026
- Record last updated
- 25 Mar 2026
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.