Active NPIOrganization

Advantage Dental Oral Health And Vision Center Of Alabama, P.c.

Dentist, General Practice in Enterprise, Alabama

NPI Number1114186699
Practice location
1100 Rucker Blvd Ste A-1, Enterprise, AL 36330-3623
Fax
334-347-5551
Last updated
March 4, 2024

Advantage Dental Oral Health And Vision Center Of Alabama, P.c. is a healthcare organization based in Enterprise, AL. Advantage Dental Oral Health And Vision Center Of Alabama, P.c. practices in Enterprise, AL. The NPI Number for Advantage Dental Oral Health And Vision Center Of Alabama, P.c. is 1114186699. The current practice location address for Advantage Dental Oral Health And Vision Center Of Alabama, P.c. is 1100 Rucker Blvd Ste A-1, Enterprise, AL 36330-3623 and can be reached out via phone at 334-347-5550 and via fax at 334-347-5551.

Provider Profile Details

NPI Number
1114186699
Provider Name
Advantage Dental Oral Health And Vision Center Of Alabama, P.c.
Provider Entity Type
Organization
Address
1100 Rucker Blvd Ste A-1, Enterprise, AL 36330-3623
Phone Number
334-347-5550
Fax Number
334-347-5551
Primary Taxonomy
Dentist, General Practice · 1223G0001X
Organization Subpart
No
Authorized Official
Sherrie Edmondson · Sr Manager, L& C · 629-999-5014
Provider Enumeration Date
June 9, 2008
Last Update Date
March 4, 2024
Certification Date
March 4, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1100 Rucker Blvd Ste A-1
Enterprise, AL 36330-3623
State
Alabama
Zip
36330-3623
Phone Number
334-347-5550
Fax Number
334-347-5551
Enterprise, AL 36330Get directions →

Provider Business Mailing Address Details

Address
Po Box 411714
Boston, MA 02241-6805
City
Boston
State
MA
Zip
02241-6805
Phone Number
629-999-5014

License Information

License State (1)
AL
Taxonomy (1)
Dentist, Pediatric Dentistry · 1223P0221X
Taxonomy (2)
Dentist, General Practice · 1223G0001X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Advantage Dental Oral Health And Vision Center Of Alabama, P.c.?

The NPI number of Advantage Dental Oral Health And Vision Center Of Alabama, P.c. is 1114186699. It was assigned on June 9, 2008 and is currently active in the NPPES registry.

What is the specialty of Advantage Dental Oral Health And Vision Center Of Alabama, P.c.?

Advantage Dental Oral Health And Vision Center Of Alabama, P.c. is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).

Where does Advantage Dental Oral Health And Vision Center Of Alabama, P.c. practice?

The practice location is 1100 Rucker Blvd Ste A-1, Enterprise, AL 36330-3623. The office can be reached at 334-347-5550 (phone) or 334-347-5551 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114186699 directly on the NPPES registry website.

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