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Shoal Creek Dental

Dental Clinic/Center in Killen, AL · enumerated 2018 · authorized official Bruce Evans, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194216861

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Registry record

Entity type Organization (Type 2)
Legal business name Shoal Creek Dental
Practice address 1303 Highway 72, Killen, AL, 35645
Phone (256) 757-5314
Enumeration date May 29, 2018
Last updated in NPPES May 29, 2018

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities · License 3415 (AL) Primary

Authorized official

Name Bruce Evans
Title Owner
Phone (256) 766-8800

Other identifiers

Identifier Type State Issuer
164755 Medicaid AL -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Shoal Creek Dental?
NPPES lists Bruce Evans (Owner) as the authorized official for this organization.
What is the NPI number for Shoal Creek Dental?
The NPI for Shoal Creek Dental is 1194216861, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-05-29.