Organization
VITAL SMILES ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD PHILIPP DDS (ORTHODONTIST)
(205) 271-6831
Entity
Organization
Contact information
Practice address
111 B Y WILLIAMS SR DR, MIDFIELD, AL 35228-2218
(205) 923-3172
(205) 923-3926
Mailing address
1900 CRESTWOOD BLVD, SUITE 211, IRONDALE, AL 35210-2034
(205) 271-6841
(205) 271-6836
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3061
AL
Other
Enumeration date
11/25/2014
Last updated
11/25/2014
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