SECD TUSCALOOSA LLC NPI 1053890509

NPI Information

  • NPI: 1053890509
  • Provider Name: SECD TUSCALOOSA LLC
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 621 HELEN KELLER BLVD
    TUSCALOOSA, AL
    ZIP 35404
  • Phone: (205) 915-1865

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NPI Details

SECD TUSCALOOSA LLC is a dental clinic center in Tuscaloosa, AL. SECD TUSCALOOSA LLC NPI is 1053890509. The provider is registered as an organization entity type.

The provider's business location address is:

621 HELEN KELLER BLVD
TUSCALOOSA, AL
ZIP 35404-902
Phone: (205) 915-1865

The provider's authorized official is Sara Northcutt .
The authorized official title is Owner, Dentist and has the following contact phone number (205) 915-1865.

The enumeration date for this NPI number is 8/7/2018 and was last updated on 8/7/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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