# CAHABA VALLEY PEDIATRIC DENTISTRY PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cahaba Valley Pediatric Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174349047
- **Authorized official:** CASSIE WIETH (PAYOR RELATIONS MANAGER)
- **Authorized official phone:** (623) 267-8121

## Contact information

- **Practice address:** 141 NARROWS DR, BIRMINGHAM, AL 35242-8627
- **Practice address phone:** (205) 408-8889
- **Mailing address:** 141 NARROWS DR, BIRMINGHAM, AL 35242-8627
- **Mailing address phone:** (205) 408-8889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/25/2024
- **Last updated:** 11/25/2024