# PEDIATRIC DENTAL ASSOCIATES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265612469
- **Authorized official:** DR. MICHAEL A HOLMES SR. DDS (PRESIDENT)
- **Authorized official phone:** (256) 546-4604

## Contact information

- **Practice address:** 404 S 5TH ST, GADSDEN, AL 35901-5102
- **Practice address phone:** (256) 546-4604
- **Practice address fax:** (256) 546-4674
- **Mailing address:** 404 S 5TH ST, GADSDEN, AL 35901-5102
- **Mailing address phone:** (256) 546-4604
- **Mailing address fax:** (256) 546-4674

## Taxonomy

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

## Other

- **Enumeration date:** 11/06/2007
- **Last updated:** 06/21/2018