Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1134137755 Individual Practitioner Male Practitioner

Dr. Charles Steven Daughtry , DMD

Dentist - General Practice • Birmingham, AL

Professional Overview & Biography Verified Profile Summary

Dr. Charles Daughtry, DMD is a registered healthcare professional specializing in Dentist - General Practice in Birmingham, AL. Practice services are available at 4515 SOUTHLAKE PKWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4515 Southlake Pkwy
Ste 101

Birmingham, AL 352443317

Telephone 2059885656
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Birmingham, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.4 Yrs
Regional Practice Density
205 Specialists

Practicing in Birmingham, AL (1455 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License AL LN03407

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID United Concordia
045814 (AL)
Commercial Insurance / Payer ID Blue Cross Blue Shiled
91579 (AL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
Dr. Ginga Gonzalez , DMD

Dentist - General Practice

NPI 1154538387

Doctor of Dental Medicine

Dr. Larry Deep , DMD

Dentist - General Practice

NPI 1518981034

Doctor of Dental Medicine

Dr. Emily Payne , DMD

Dentist - General Practice

NPI 1730103136

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 4515 SOUTHLAKE PKWY, STE 101, BIRMINGHAM, AL 352443317 (Tel: 2059885656)

📍
Updated Business Mailing Address July 08, 2007

Registered at 2525 SADDLECREEK TRL, BIRMINGHAM, AL 352426005 (Tel: 2059808458)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as CHARLES DAUGHTRY, D. M. D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #LN03407 in AL)

🟢
Initial NPI Registration & Enumeration August 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1134137755
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 03, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

2525 Saddlecreek Trl

Birmingham, AL 352426005

Phone: 2059808458

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.