NPI 1285573212

Mountain Smiles - Homewood PLLC

Organisation Dental Clinic/Center Homewood, AL

Practice location

Address: 112 Broadway St, Homewood, AL 35209-5312
Phone: (205) 847-1415

Authorised official

Name: Angel Gimenez
Title: Credentialing Senior Manager
Phone: (719) 300-5933

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Alabama →

Registry record

NPI: 1285573212
Entity type: Organization
NPI issued: 26 Mar 2026
Record last updated: 26 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.