Organization
ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRIE EDMONDSON (MANAGER, LICENSING & CREDENTIALING)
(629) 999-5014
Entity
Organization
Contact information
Practice address
6662 HIGHWAY 75 STE 114, PINSON, AL 35126-3200
(205) 693-0100
(205) 693-0101
Mailing address
PO BOX 411714, BOSTON, MA 02241-6805
(629) 999-5014
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123766
—
AL
Enumeration date
10/26/2010
Last updated
03/04/2024
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