Organization
MEDPLEX PEDIATRIC DENTISTRY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD BAKER CHAMBLISS JR. DMD (PRESIDENT)
(205) 453-0314
Entity
Organization
Contact information
Practice address
4515 SOUTHLAKE PKWY, SUITE 200, BIRMINGHAM, AL 35244-3317
(205) 453-0314
(205) 453-0315
Mailing address
4515 SOUTHLAKE PKWY, SUITE 200, BIRMINGHAM, AL 35244-3317
(205) 453-0314
(205) 453-0315
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5181
AL
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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