Provider Demographics
NPI:1790962074
Name:TODAY'S FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:TODAY'S FAMILY DENTISTRY, P.C.
Other - Org Name:CULLMAN DENTAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:YONGTAE
Authorized Official - Last Name:KIM
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:256-739-3337
Mailing Address - Street 1:PO BOX 910
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35056-0910
Mailing Address - Country:US
Mailing Address - Phone:256-734-1400
Mailing Address - Fax:256-734-1500
Practice Address - Street 1:2020 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35058-0464
Practice Address - Country:US
Practice Address - Phone:256-734-1400
Practice Address - Fax:256-734-1500
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TODAY'S FAMILY DENTISTRY, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-29
Last Update Date:2008-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL4937122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty