# TUSCALOOSA PEDIATRIC DENTISTRY, P.C.

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

## Provider details

- **NPI number:** 1588843635
- **Authorized official:** DR. WILLIAM WESLEY HOLLOWELL D.M.D. (PRESIDENT)
- **Authorized official phone:** (205) 556-6100

## Contact information

- **Practice address:** 2415 VETERANS MEMORIAL PKWY, TUSCALOOSA, AL 35404-4137
- **Practice address phone:** (205) 556-6100
- **Practice address fax:** (205) 556-6755
- **Mailing address:** 2415 VETERANS MEMORIAL PKWY, TUSCALOOSA, AL 35404-4137
- **Mailing address phone:** (205) 556-6100
- **Mailing address fax:** (205) 556-6755

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 5447 | AL | Yes |

## Other

- **Enumeration date:** 10/25/2007
- **Last updated:** 10/25/2007