Pediatric And Adolescent Dentistry, Llc in Birmingham - Pediatric Dentistry
Pediatric And Adolescent Dentistry, Llc - NPI 1851585079
Pediatric And Adolescent Dentistry, Llc is a Pediatric Dentistry in Birmingham, Alabama. Pediatric And Adolescent Dentistry, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric And Adolescent Dentistry, Llc is 1851585079. The last update date is 2007-08-30.
Pediatric And Adolescent Dentistry, Llc's current location address is 5346 Stadium Trace Pkwy, Birmingham, Alabama. You can contact this provider via phone number 2059820112 and fax number 2059820737. The mailing address for Pediatric And Adolescent Dentistry, Llc is 5346 Stadium Trace Pkwy, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric And Adolescent Dentistry, Llc |
|---|---|
| Address | 5346 Stadium Trace Pkwy, Birmingham, Alabama |
| Phone Number | 2059820112 |
| Fax Number | 2059820737 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Thomas Clark William |
| Credentials | DMD |
| Telephone Number | 2059820112 |
NPI Number Detail
| NPI Number | 1851585079 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2007-08-30 |
Provider Mailing Address Detail
| Address | 5346 Stadium Trace Pkwy |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 352444582 |
| Phone Number | 2059820112 |
| Fax Number | 2059820737 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 5122 |
|
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 |
|---|---|---|---|
| 51540792 | AL | BC/BS |
Post Comment/ Review Below
What is the unique provider identifier assigned to Pediatric And Adolescent Dentistry, Llc?
The Pediatric And Adolescent Dentistry, Llc has been issued the NPI (National Provider Identifier) 1851585079 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Pediatric And Adolescent Dentistry, Llc's facilities are situated?
The facilities of Pediatric And Adolescent Dentistry, Llc are physically located at the following address: 5346 Stadium Trace Pkwy, Birmingham, AL, 352444582.
What is the Pediatric And Adolescent Dentistry, Llc's area of specialization and corresponding taxonomy classification?
The Pediatric And Adolescent Dentistry, Llc's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When was the Pediatric And Adolescent Dentistry, Llc's 1851585079 issued?
The Pediatric And Adolescent Dentistry, Llc's 1851585079 was issued on 2007-08-30.
When was the information pertaining to Pediatric And Adolescent Dentistry, Llc most recently updated or revised?
The details related to Pediatric And Adolescent Dentistry, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-30.