# ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.

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

## Provider details

- **NPI number:** 1811301385
- **Authorized official:** SHERRIE EDMONDSON (MANAGER, LICENSING & CREDENTIALING)
- **Authorized official phone:** (629) 999-5014

## Contact information

- **Practice address:** 5412 MONTGOMERY HWY STE 8, DOTHAN, AL 36303-1657
- **Practice address phone:** (334) 983-1730
- **Practice address fax:** (334) 983-1725
- **Mailing address:** 3322 W END AVE STE 400, NASHVILLE, TN 37203-6805
- **Mailing address phone:** (629) 999-5014

## Taxonomy

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

## Other

- **Enumeration date:** 06/12/2014
- **Last updated:** 12/30/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 161859 | — | AL |