| Pediatric Dental Associates Of Birmingham, Llc | |
|
1613 11th Ave S Birmingham AL 35205-4703 | |
| (205) 586-9922 | |
| Not Available |
| Full Name | Pediatric Dental Associates Of Birmingham, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1613 11th Ave S, Birmingham, Alabama |
| Authorized Official Name and Position | Thomas G Willingham (PARTNER) |
| Authorized Official Contact | 2055869922 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Associates Of Birmingham, Llc 1613 11th Ave S Birmingham AL 35205-4703 Ph: (205) 586-9922 | Pediatric Dental Associates Of Birmingham, Llc 1613 11th Ave S Birmingham AL 35205-4703 Ph: (205) 586-9922 |
| NPI Number | 1952774945 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 11/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952774945 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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