| Advantage Dental Oral Health And Vision Center Of Alabama, P.c. | |
|
1100 Rucker Blvd Ste A-1 Enterprise AL 36330-3623 | |
| (334) 347-5550 | |
| (334) 347-5551 |
| Full Name | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1100 Rucker Blvd Ste A-1, Enterprise, Alabama |
| Authorized Official Name and Position | Sherrie Edmondson (SR MANAGER, L& C) |
| Authorized Official Contact | 6299995014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental Oral Health And Vision Center Of Alabama, P.c. Po Box 411714 Boston MA 02241-6805 Ph: (629) 999-5014 | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. 1100 Rucker Blvd Ste A-1 Enterprise AL 36330-3623 Ph: (334) 347-5550 |
| NPI Number | 1114186699 |
|---|---|
| Provider Enumeration Date | 06/09/2008 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114186699 | NPI | - | NPPES |
| 102590 | Medicaid | AL | |
| 3633798 | Other | AL | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | (Alabama) | Secondary |
H. Arthur Missirlian D.d.s. And Associates Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 551 Glover Ave, Enterprise, AL 36330 Phone: 970-218-2187 Fax: 334-347-1101 | |
Turner Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 736 E Lee St, Enterprise, AL 36330 Phone: 334-347-0096 Fax: 334-347-0085 | |
Fresh Wave Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 812 Boll Weevil Cir, Enterprise, AL 36330 Phone: 334-347-9283 | |
Wiregrass Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 E Pointe Ct, Enterprise, AL 36330 Phone: 334-347-3061 | |
Oak Park Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 534 Boll Weevil Cir, Enterprise, AL 36330 Phone: 334-566-8266 | |
Brandon M. Snell Orofacial Pain Clinic, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 Rucker Blvd, Enterprise, AL 36330 Phone: 334-347-0036 |