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Jasper Pediatric Dentistry, Llc
Pediatric Dentist in Jasper, Alabama
NPI 1649303355

Jasper Pediatric Dentistry, Llc is a Pediatric Dentist based in Jasper, AL and is specialized in Pediatric Dentistry. Jasper Pediatric Dentistry, Llc practices in Jasper, AL. The NPI Number for Jasper Pediatric Dentistry, Llc is 1649303355 and holds a License No. 4967 (Alabama).

The current practice location address for Jasper Pediatric Dentistry, Llc is 4330 Highway 78 E, Jasper, AL and can be reached out via phone at 205-384-9104 and via fax at 205-384-9102.

Location: 4330 Highway 78 E, Jasper, AL, 35501-8905
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1649303355
Provider Name
Jasper Pediatric Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
4330 Highway 78 E, Jasper, AL, 35501-8905
Phone Number
205-384-9104
Fax Number
205-384-9102
Provider Enumeration Date
03/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51506630 01 AL BLUE CROSS
institution
Provider Business Practice Location Address Details
Address
4330 Highway 78 E
City
Jasper
State
Alabama
Zip
35501-8905
Phone Number
205-384-9104
Fax Number
205-384-9102
person
Provider Business Mailing Address Details
Address
4330 Highway 78 E
City
Jasper
State
Alabama
Zip
35501-8905
Phone Number
205-384-9104
Fax Number
205-384-9102
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
4967 (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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