# PEDIATRIC DENTAL ASSOCIATES OF CAHABA HEIGHTS, LLC

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

## Provider details

- **NPI number:** 1639668486
- **Authorized official:** DR. RICHARD CHAMBLISS DDS (OWNER)
- **Authorized official phone:** (205) 453-0314

## Contact information

- **Practice address:** 4213 DOLLY RIDGE RD, VESTAVIA, AL 35243-5703
- **Practice address phone:** (205) 490-6850
- **Mailing address:** 4213 DOLLY RIDGE RD, VESTAVIA, AL 35243-5703
- **Mailing address phone:** (205) 490-6850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 5181 | AL | Yes |

## Other

- **Enumeration date:** 05/08/2018
- **Last updated:** 05/08/2018