OrganizationActive
Pediatric Dental Associates of Cullman, LLC
NPI 1609374164 · Dental Clinic/Center · Cullman, AL
Provider details
- NPI number
- 1609374164
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Richard Chambliss, Owner(205) 453-0314
- License
- 0005181 (AL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1705 Main Ave Sw Ste a
Cullman, AL 35055-7207
Phone: (256) 739-6000
Street-level locationGet directions
Mailing address
1705 Main Ave Sw Ste a
Cullman, AL 35055-7207
Other names (DBA / former)
- Doing business as
- Nassetta Pediatric Dentistry
Registry dates
- Enumerated
- 2018-01-30
- Last updated
- 2018-01-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.