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Organization
CHILDREN'S DENTISTRY OF ALABAMA
Active
Organization
CHILDREN'S DENTISTRY OF ALABAMA
Active
Other names
Oak Mountain Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY HARRIS FLANNERY JR. DDS (MANAGER)
(205) 613-6475
Entity
Organization
Contact information
Practice address
6930 CAHABA VALLEY RD, SUITE 200, BIRMINGHAM, AL 35242-2672
(205) 613-6475
Mailing address
6930 CAHABA VALLEY RD, SUITE 200, BIRMINGHAM, AL 35242-2672
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
6049
AL
Other
Enumeration date
11/10/2015
Last updated
11/30/2015
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