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
1911 SKYLAND BLVD E, SUITE A3, TUSCALOOSA, AL 35405
(205) 469-0444
(205) 469-0433
Mailing address
3322 W END AVE STE 400, NASHVILLE, TN 37203-6805
(629) 999-5014
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
136523
—
AL
Enumeration date
03/01/2012
Last updated
12/30/2021
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