NORTH JEFFERSON PEDIATRIC DENTISTRY LLC NPI 1043351950

NPI Information

NORTH JEFFERSON PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Gardendale, AL. The provider is 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. NORTH JEFFERSON PEDIATRIC DENTISTRY, LLC NPI is 1043351950. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Amy T. Parvin, D.m.d..

The provider's business location address is:

925 SHARIT AVE
STUITE 113
GARDENDALE, AL
ZIP 35071-000
Phone: (205) 631-2240
Fax: (205) 631-1611

The provider's authorized official is Selena D Devine .
The authorized official title is Office Manager and has the following contact phone number (205) 631-2240.

The enumeration date for this NPI number is 2/12/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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