| Children And Teen Ortho Group Of Alabama | |
|
221 Rice Mine Rd Ne Ste 260 Tuscaloosa AL 35406-2401 | |
| (205) 758-3341 | |
| (678) 550-5490 |
| Full Name | Children And Teen Ortho Group Of Alabama |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 221 Rice Mine Rd Ne Ste 260, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Crystal Walker (CREDENTIALING MANAGER) |
| Authorized Official Contact | 7707444522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Teen Ortho Group Of Alabama 342 N Main St Ste 200 Alpharetta GA 30009-8376 Ph: (205) 758-3341 | Children And Teen Ortho Group Of Alabama 221 Rice Mine Rd Ne Ste 260 Tuscaloosa AL 35406-2401 Ph: (205) 758-3341 |
| NPI Number | 1063969368 |
|---|---|
| Provider Enumeration Date | 09/02/2016 |
| Last Update Date | 05/11/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063969368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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