# CAPSTONE KIDS LLC

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

## Provider details

- **NPI number:** 1912456930
- **Authorized official:** DR. MICHAEL DOUGLAS OLIVER JR. D.D.S (OWNER)
- **Authorized official phone:** (870) 897-3192

## Contact information

- **Practice address:** 204 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
- **Practice address phone:** (870) 897-3192
- **Mailing address:** 204 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 5151 | AL | Yes |

## Other

- **Enumeration date:** 10/03/2016
- **Last updated:** 10/03/2016