Organization
PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS G WILLINGHAM JR. DMD (PARTNER)
(205) 586-9922
Entity
Organization
Contact information
Practice address
1613 11TH AVE S, BIRMINGHAM, AL 35205-4703
(205) 586-9922
Mailing address
1613 11TH AVE S, BIRMINGHAM, AL 35205-4703
(205) 586-9922
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/12/2015
Last updated
11/12/2015
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