institution
Pediatric And Adolescent Dentistry, Llc
Pediatric Dentist in Birmingham, Alabama
NPI 1851585079

Pediatric And Adolescent Dentistry, Llc is a Pediatric Dentist based in Birmingham, AL and is specialized in Pediatric Dentistry. Pediatric And Adolescent Dentistry, Llc practices in Birmingham, AL. The NPI Number for Pediatric And Adolescent Dentistry, Llc is 1851585079 and holds a License No. 5122 (Alabama).

The current practice location address for Pediatric And Adolescent Dentistry, Llc is 5346 Stadium Trace Pkwy, Birmingham, AL and can be reached out via phone at 205-982-0112 and via fax at 205-982-0737.

Location: 5346 Stadium Trace Pkwy, Birmingham, AL, 35244-4582
institution
Provider Profile Details
NPI Number
1851585079
Provider Name
Pediatric And Adolescent Dentistry, Llc
Credential
Provider Entity Type
Organization
Address
5346 Stadium Trace Pkwy, Birmingham, AL, 35244-4582
Phone Number
205-982-0112
Fax Number
205-982-0737
Provider Enumeration Date
08/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51540792 01 AL BC/BS
institution
Provider Business Practice Location Address Details
Address
5346 Stadium Trace Pkwy
City
State
Zip
35244-4582
Phone Number
205-982-0112
Fax Number
205-982-0737
person
Provider Business Mailing Address Details
Address
5346 Stadium Trace Pkwy
City
State
Zip
35244-4582
Phone Number
205-982-0112
Fax Number
205-982-0737
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
5122 (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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