# SHELBY PEDIATRIC DENTISTRY, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962813188
- **Authorized official:** DR. RICHARD TURNER BAXTER D.M.D. (OWNER / DENTIST)
- **Authorized official phone:** (205) 876-3989

## Contact information

- **Practice address:** 2490 PELHAM PARKWAY, PELHAM, AL 35124
- **Practice address phone:** (205) 419-7444
- **Mailing address:** 123 N LAKE DR, BIRMINGHAM, AL 35242-7020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | 5946 | AL | Yes |

## Other

- **Enumeration date:** 05/09/2014
- **Last updated:** 05/09/2014