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Sand Mountain Family Dentistry LLC

Dental Clinic/Center in Boaz, AL · enumerated 2021 · authorized official Brant Haynie, Owner/Dentist.

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

National Provider Identifier

1790367126

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Registry record

Entity type Organization (Type 2)
Legal business name Sand Mountain Family Dentistry LLC
Practice address 701 Medical Center Pkwy, Boaz, AL, 35957
Phone (205) 467-0387
Enumeration date Apr 26, 2021
Last updated in NPPES May 19, 2021

Taxonomy & classification

261QD0000X Dental Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Brant Haynie
Title Owner/Dentist
Phone (205) 467-0387

Other identifiers

Identifier Type State Issuer
171653 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

What is the NPI number for Sand Mountain Family Dentistry LLC?
The NPI for Sand Mountain Family Dentistry LLC is 1790367126, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Sand Mountain Family Dentistry LLC?
NPPES lists Brant Haynie (Owner/Dentist) as the authorized official for this organization.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-05-19.