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Active NPI 1043344617 Individual Practitioner Male Practitioner

Dr. Roosevelt Alfonso Daniel , DDS

Dentist - General Practice • Montgomery, AL

Professional Overview & Biography Verified Profile Summary

Dr. Roosevelt Daniel, DDS is a registered healthcare professional specializing in Dentist - General Practice in Montgomery, AL. Practice services are available at 524 E EDGEMONT AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

524 E Edgemont Ave

Montgomery, AL 361111321

Telephone 3348349647
Fax 3348343716

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Montgomery, AL

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

Practicing in Montgomery, 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 3328

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

Medicaid State Provider ID
000091556 (AL)
Commercial Insurance / Payer ID Bcbsal
51091556 (AL)

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 524 E EDGEMONT AVE, MONTGOMERY, AL 361111321 (Tel: 3348349647)

📍
Updated Business Mailing Address July 08, 2007

Registered at 118 N HAARDT DR, MONTGOMERY, AL 361051646 (Tel: 3348344188)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as ROOSEVELT DANIEL, DDS

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

Dentist (License #3328 in AL)

🟢
Initial NPI Registration & Enumeration March 15, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1043344617
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

118 N Haardt Dr

Montgomery, AL 361051646

Phone: 3348344188

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.