Organization
PAD ORTHO LLC
Active
Organization
PAD ORTHO LLC
Active
Parent organization
PEDIATRIC AND ADOLESCENT DENTISTRY, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC AND ADOLESCENT DENTISTRY, LLC
Authorized official
JOEY WEST (OFFICE MANAGER)
(205) 982-0112
Entity
Organization
Contact information
Practice address
1015 BROCKS GAP PKWY, HOOVER, AL 35244-4032
(205) 982-0112
(205) 982-0737
Mailing address
1015 BROCKS GAP PKWY, HOOVER, AL 35244-4032
(205) 982-0112
(205) 982-0737
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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