# MCCALLA ORTHODONTICS AND PEDIATRIC DENTISTRY, P.C.

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

## Provider details

- **NPI number:** 1831377993
- **Authorized official:** DR. OLGA M. SANCHEZ-HERNANDEZ D.M.D., M.S., M.S. (OWNER)
- **Authorized official phone:** (205) 477-8004

## Contact information

- **Practice address:** 4764 EASTERN VALLEY RD, SUITE 104-106, MC CALLA, AL 35111-3469
- **Practice address phone:** (205) 477-8004
- **Practice address fax:** (205) 477-8214
- **Mailing address:** 4764 EASTERN VALLEY RD STE 104-106, MC CALLA, AL 35111-3469
- **Mailing address phone:** (205) 477-8004

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 4956 | AL | Yes |

## Other

- **Enumeration date:** 01/31/2008
- **Last updated:** 01/31/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1364757 | UNITED CONCORDIA | AL |
| 01 | — | 51523968 | BCBS | AL |