North Jefferson Pediatric Dentistry, Llc in Gardendale - Pediatric Dentistry
North Jefferson Pediatric Dentistry, Llc - NPI 1043351950
North Jefferson Pediatric Dentistry, Llc is a Pediatric Dentistry in Gardendale, Alabama. North Jefferson Pediatric Dentistry, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for North Jefferson Pediatric Dentistry, Llc is 1043351950. The last update date is 2020-08-22.
North Jefferson Pediatric Dentistry, Llc's current location address is 925 Sharit Ave, Gardendale, Alabama. You can contact this provider via phone number 2056312240 and fax number 2056311611. The mailing address for North Jefferson Pediatric Dentistry, Llc is 925 Sharit Ave, Gardendale, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | North Jefferson Pediatric Dentistry, Llc |
|---|---|
| Address | 925 Sharit Ave, Gardendale, Alabama |
| Phone Number | 2056312240 |
| Fax Number | 2056311611 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Devine D Selena |
| Telephone Number | 2056312240 |
NPI Number Detail
| NPI Number | 1043351950 |
|---|---|
| Provider Enumeration Date | 2007-02-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 925 Sharit Ave |
|---|---|
| City | Gardendale |
| State | Alabama (AL) |
| Post Code | 350715000 |
| Phone Number | 2056312240 |
| Fax Number | 2056311611 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 4970 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1356891 | AL | UCCI | |
| 51531288 | AL | BCBS OF ALABAMA |
Post Comment/ Review Below
What is the unique provider identifier assigned to North Jefferson Pediatric Dentistry, Llc?
The North Jefferson Pediatric Dentistry, Llc has been issued the NPI (National Provider Identifier) 1043351950 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where North Jefferson Pediatric Dentistry, Llc's facilities are geographically located?
The facilities of North Jefferson Pediatric Dentistry, Llc are physically situated at the following location: 925 Sharit Ave, Gardendale, AL, 350715000.
What is North Jefferson Pediatric Dentistry, Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for North Jefferson Pediatric Dentistry, Llc is Pediatric Dentistry, and the taxonomy code that categorizes this field of expertise is 1223P0221X.
When was the North Jefferson Pediatric Dentistry, Llc's 1043351950 issued?
The North Jefferson Pediatric Dentistry, Llc's 1043351950 was issued on 2007-02-12.
When was the North Jefferson Pediatric Dentistry, Llc's information last updated?
The North Jefferson Pediatric Dentistry, Llc's information was last updated on 2020-08-22.