Organization
ALABAMA DENTAL PROFESSIONALS, PC
Active
Other names
Valley Smiles Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
110 COLLEGE ST., SUITE D, ATHENS, AL 35611
(256) 232-0789
(256) 232-5247
Mailing address
110 COLLEGE ST., SUITE D, ATHENS, AL 35611
(256) 232-0789
(256) 232-5247
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3836
AL
1223G0001X
General Practice Dentistry
4084
AL
1223G0001X
General Practice Dentistry
5267
AL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1023101524
NPI
AL
01
—
1437242195
NPI
AL
01
—
1912092164
NPI
AL
01
—
1942570361
NPI
AL
Enumeration date
02/14/2010
Last updated
06/19/2015
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