| Pelham Parkway Dentistry | |
|
2685 Pelham Pkwy Pelham AL 35124-1354 | |
| (504) 410-3051 | |
| Not Available |
| Full Name | Pelham Parkway Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2685 Pelham Pkwy, Pelham, Alabama |
| Authorized Official Name and Position | Kay S. Oplinger (COO) |
| Authorized Official Contact | 5044103051 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelham Parkway Dentistry 3117 Blue Lake Dr Ste 201 Vestavia AL 35243-2477 Ph: (504) 410-3051 | Pelham Parkway Dentistry 2685 Pelham Pkwy Pelham AL 35124-1354 Ph: (504) 410-3051 |
| NPI Number | 1669962106 |
|---|---|
| Provider Enumeration Date | 05/10/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669962106 | NPI | - | NPPES |
| 182641 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Alabama) | Primary |
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