| Advantage Dental Oral Health And Vision Center Of Alabama, P.c. | |
|
310 W Elm St Athens AL 35611-4802 | |
| (256) 262-0200 | |
| (256) 262-0201 |
| Full Name | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 310 W Elm St, Athens, 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. 3322 W End Ave Ste 400 Nashville TN 37203-6805 Ph: (629) 999-5014 | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. 310 W Elm St Athens AL 35611-4802 Ph: (256) 262-0200 |
| NPI Number | 1700115201 |
|---|---|
| Provider Enumeration Date | 12/11/2009 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700115201 | NPI | - | NPPES |
| 115249 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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