INDIAN SPRINGS PEDIATRIC DENTISTRY L.L.C. NPI 1881020857

NPI Information

INDIAN SPRINGS PEDIATRIC DENTISTRY, L.L.C. is a pediatric dentistry dentist in Pelham, 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. INDIAN SPRINGS PEDIATRIC DENTISTRY, L.L.C. NPI is 1881020857. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6496 QUAIL RUN DR
PELHAM, AL
ZIP 35124-104
Phone: (205) 739-7773

The provider's authorized official is Rosalynn Yvette Crawford-mckendall .
The authorized official title is Member and has the following contact phone number (205) 739-7773.

The CLIA number assigned to this NPI record is 01D2199667 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/22/2013 and was last updated on 9/22/2013.

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:

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.