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Organization
OTM PEDIATRIC DENTISTRY, LLC
Active
Organization
OTM PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FLYNT GILBERT PURVIS DMD (PRESIDENT)
(205) 983-8980
Entity
Organization
Contact information
Practice address
521 HIGHWAY 31 S STE 125, VESTAVIA HILLS, AL 35216-1877
(205) 822-4284
(205) 822-4285
Mailing address
2401 DOLLY RIDGE RD, VESTAVIA, AL 35243-4609
(205) 983-8980
(205) 983-8982
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
03/25/2020
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