# OTM PEDIATRIC DENTISTRY, LLC

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

## Provider details

- **NPI number:** 1801423280
- **Authorized official:** DR. FLYNT GILBERT PURVIS DMD (PRESIDENT)
- **Authorized official phone:** (205) 983-8980

## Contact information

- **Practice address:** 521 HIGHWAY 31 S STE 125, VESTAVIA HILLS, AL 35216-1877
- **Practice address phone:** (205) 822-4284
- **Practice address fax:** (205) 822-4285
- **Mailing address:** 2401 DOLLY RIDGE RD, VESTAVIA, AL 35243-4609
- **Mailing address phone:** (205) 983-8980
- **Mailing address fax:** (205) 983-8982

## Taxonomy

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

## Other

- **Enumeration date:** 03/25/2020
- **Last updated:** 03/25/2020