Alabama Pediatric Dentistry in Birmingham - Pediatric Dentistry

Alabama Pediatric Dentistry - NPI 1861673238

Alabama Pediatric Dentistry is a Pediatric Dentistry in Birmingham, Alabama. Alabama Pediatric Dentistry practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Alabama Pediatric Dentistry is 1861673238. The last update date is 2015-04-20.

Alabama Pediatric Dentistry's current location address is 3500 Independence Dr, Birmingham, Alabama. You can contact this provider via phone number 2058027277. The mailing address for Alabama Pediatric Dentistry is 3500 Independence Dr, Birmingham, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Organization Alabama Pediatric Dentistry
Address 3500 Independence Dr, Birmingham, Alabama
Phone Number 2058027277
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENTIST
Authorized Official Name Bajjalieh Michelle
Credentials DMD
Telephone Number 2058027277

NPI Number Detail

NPI Number 1861673238
Provider Enumeration Date 2007-11-14
Last Updated Date 2015-04-20

Provider Mailing Address Detail

Address 3500 Independence Dr
City Birmingham
State Alabama (AL)
Post Code 352092627
Phone Number 2058027277
Fax Number

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 5189
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
9934632 AL --

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FAQs about Alabama Pediatric Dentistry

What is the unique 10-digit identifier code issued to Alabama Pediatric Dentistry by the Centers for Medicare & Medicaid Services?

The Alabama Pediatric Dentistry has been assigned the NPI (National Provider Identifier) 1861673238 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Alabama Pediatric Dentistry's physical address?

The Alabama Pediatric Dentistry is physically located at 3500 Independence Dr, in the city of Birmingham, AL, with the postal code 352092627.

What is Alabama Pediatric Dentistry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Alabama Pediatric Dentistry is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.

When did Alabama Pediatric Dentistry receive its 1861673238 assignment?

The Alabama Pediatric Dentistry was assigned its 1861673238 on 2007-11-14, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Alabama Pediatric Dentistry most recently updated or revised?

The information pertaining to Alabama Pediatric Dentistry, including its address, specialty, and other relevant details, was last updated or revised on 2015-04-20.

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