PEDIATRIC AND ADOLESCENT DENTISTRY LLC NPI 1851585079

NPI Information

PEDIATRIC AND ADOLESCENT DENTISTRY, LLC is a pediatric dentistry dentist in Birmingham, 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 AND ADOLESCENT DENTISTRY, LLC NPI is 1851585079. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5346 STADIUM TRACE PKWY
SUITE 108
BIRMINGHAM, AL
ZIP 35244-582
Phone: (205) 982-0112
Fax: (205) 982-0737

The provider's authorized official is William Clark Thomas .
The authorized official title is President and has the following contact phone number (205) 982-0112.

The enumeration date for this NPI number is 8/30/2007 and was last updated on 8/30/2007.

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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