| Advantage Dental Oral Health And Vision Center Of Alabama, P.c. | |
|
1572 Mill Sq Alexander City AL 35010-3367 | |
| (256) 397-1050 | |
| (256) 397-1051 |
| Full Name | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1572 Mill Sq, Alexander City, Alabama |
| Authorized Official Name and Position | Sherrie Edmondson (MANAGER, LICENSING & CREDENTIALING) |
| 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. 1572 Mill Sq Alexander City AL 35010-3367 Ph: (256) 397-1050 |
| NPI Number | 1407133978 |
|---|---|
| Provider Enumeration Date | 11/10/2011 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407133978 | NPI | - | NPPES |
| 133412 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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