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Organization
NORTH JEFFERSON PEDIATRIC DENTISTRY, LLC
Active
Organization
NORTH JEFFERSON PEDIATRIC DENTISTRY, LLC
Active
Other names
Amy T. Parvin, D.M.D.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SELENA D DEVINE (OFFICE MANAGER)
(205) 631-2240
Entity
Organization
Contact information
Practice address
925 SHARIT AVE, STUITE 113, GARDENDALE, AL 35071-5000
(205) 631-2240
(205) 631-1611
Mailing address
925 SHARIT AVE, STUITE 113, GARDENDALE, AL 35071-5000
(205) 631-2240
(205) 631-1611
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
4970
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356891
UCCI
AL
01
—
51531288
BCBS OF ALABAMA
AL
Enumeration date
02/12/2007
Last updated
08/22/2020
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