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North Jefferson Pediatric Dentistry, Llc
Pediatric Dentist in Gardendale, Alabama
NPI 1043351950

North Jefferson Pediatric Dentistry, Llc is a Pediatric Dentist based in Gardendale, AL and is specialized in Pediatric Dentistry. North Jefferson Pediatric Dentistry, Llc practices in Gardendale, AL. The NPI Number for North Jefferson Pediatric Dentistry, Llc is 1043351950 and holds a License No. 4970 (Alabama).

The current practice location address for North Jefferson Pediatric Dentistry, Llc is 925 Sharit Ave, Gardendale, AL and can be reached out via phone at 205-631-2240 and via fax at 205-631-1611.

Location: 925 Sharit Ave, Gardendale, AL, 35071-5000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043351950
Provider Name
North Jefferson Pediatric Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
925 Sharit Ave, Gardendale, AL, 35071-5000
Phone Number
205-631-2240
Fax Number
205-631-1611
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1356891 01 AL UCCI
51531288 01 AL BCBS OF ALABAMA
institution
Provider Business Practice Location Address Details
Address
925 Sharit Ave
City
Gardendale
State
Alabama
Zip
35071-5000
Phone Number
205-631-2240
Fax Number
205-631-1611
person
Provider Business Mailing Address Details
Address
925 Sharit Ave
City
Gardendale
State
Alabama
Zip
35071-5000
Phone Number
205-631-2240
Fax Number
205-631-1611
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
4970 (Alabama)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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