| North Jefferson Pediatric Dentistry, Llc | |
|
925 Sharit Ave Stuite 113 Gardendale AL 35071-5000 | |
| (205) 631-2240 | |
| (205) 631-1611 |
| Full Name | North Jefferson Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 925 Sharit Ave, Gardendale, Alabama |
| Authorized Official Name and Position | Selena D Devine (OFFICE MANAGER) |
| Authorized Official Contact | 2056312240 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jefferson Pediatric Dentistry, Llc 925 Sharit Ave Stuite 113 Gardendale AL 35071-5000 Ph: (205) 631-2240 | North Jefferson Pediatric Dentistry, Llc 925 Sharit Ave Stuite 113 Gardendale AL 35071-5000 Ph: (205) 631-2240 |
| NPI Number | 1043351950 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043351950 | NPI | - | NPPES |
| 1356891 | Other | AL | UCCI |
| 51531288 | Other | AL | BCBS OF ALABAMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4970 (Alabama) | Primary |
Thomas A Douyard Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2334 Decatur Hwy, Gardendale Dental Care, Gardendale, AL 35071 Phone: 205-631-1879 Fax: 205-631-1887 | |
Cheri W Cunningham Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Main St, Gardendale, AL 35071 Phone: 205-285-9661 Fax: 205-285-9663 | |
Courington Dental Enterprises, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 Fieldstown Rd Ste 120, Gardendale, AL 35071 Phone: 256-682-4248 | |
Carol Ann D. Nicrosi Dmd, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1324 Main St, Gardendale, AL 35071 Phone: 205-631-4572 Fax: 205-631-4979 | |
Haight Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Odum Rd Ste 103, Gardendale, AL 35071 Phone: 205-285-3392 | |
Gardendale Oral Surgery, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 919 Sharit Ave Ste 201, Gardendale, AL 35071 Phone: 205-631-4004 Fax: 205-631-4007 |