PEDIATRIC DENTAL ASSOCIATES OF HOOVER LLC NPI 1043954647

NPI Information

PEDIATRIC DENTAL ASSOCIATES OF HOOVER, LLC is a pediatric dentistry dentist in Hoover, 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. PEDIATRIC DENTAL ASSOCIATES OF HOOVER, LLC NPI is 1043954647. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5336 STADIUM TRACE PKWY STE 112
HOOVER, AL
ZIP 35244-581
Phone: (205) 988-9678

The provider's authorized official is Benjamin Earl Samuelson .
The authorized official title is Orthodontist/owner and has the following contact phone number (205) 910-0143.

The enumeration date for this NPI number is 4/21/2022 and was last updated on 4/21/2022.

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:

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