# DAPHNE PEDIATRIC DENTISTRY INC

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

## Provider details

- **NPI number:** 1841374899
- **Authorized official:** HAROLD TODD CHAMBLISS DMD (PEDIATRIC DENTIST)
- **Authorized official phone:** (251) 447-0627

## Contact information

- **Practice address:** 7058 PROFESSIONAL PLACE, DAPHNE, AL 36526
- **Practice address phone:** (251) 447-0627
- **Practice address fax:** (251) 447-0639
- **Mailing address:** 7058 PROFESSIONAL PLACE, DAPHNE, AL 36526
- **Mailing address phone:** (251) 447-0627
- **Mailing address fax:** (251) 447-0639

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 4830 | AL | Yes |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 08/22/2020
