# EAST ALABAMA PEDIATRIC DENTISTRY & ORTHODONTICS

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

## Provider details

- **NPI number:** 1497933253
- **Authorized official:** SANDRA J BUFF (OFFICE MANAGER)
- **Authorized official phone:** (334) 321-0780

## Contact information

- **Practice address:** 742 N DEAN RD, AUBURN, AL 36830-4300
- **Practice address phone:** (334) 321-0780
- **Mailing address:** 742 N DEAN RD, AUBURN, AL 36830-4300
- **Mailing address phone:** (334) 321-0780

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 1223PO221X | AL | — |
| 1223P0221X | Pediatric Dentistry | 5221 | AL | Yes |

## Other

- **Enumeration date:** 02/04/2008
- **Last updated:** 02/04/2008