Organization
CHILDREN'S DENTISTRY OF CENTRAL ALABAMA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES OSBORN DMD (OWNER)
(334) 875-1330
Entity
Organization
Contact information
Practice address
2425 MEDICAL CENTER PKWY, SELMA, AL 36701
(334) 875-1330
(334) 875-6284
Mailing address
2425 MEDICAL CENTER PKWY, SELMA, AL 36701-7756
(334) 875-1330
(334) 875-6284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5695
AL
1223P0221X
Pediatric Dentistry
Primary
3063
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000095993
—
AL
Enumeration date
07/09/2009
Last updated
07/23/2018
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