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PEDIATRIC SMILES NPI 1003136615


NPI Information

NPI: 1003136615
Provider Name: PEDIATRIC SMILES
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

CLIA Number: 01D2097760

Address:
5751 POCAHONTAS ROAD
SUITE B
BESSEMER, AL
ZIP 35022
Phone: (205) 451-7029
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PEDIATRIC SMILES is a pediatric dentistry dentist in Bessemer, 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 SMILES NPI is 1003136615. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

5751 POCAHONTAS ROAD
SUITE B
BESSEMER, AL
ZIP 35022-711
Phone: (205) 451-7029

The provider's authorized official is Tabitha Jarman Gatrey .
The authorized official title is Owner/dentist and has the following contact phone number (205) 451-7029.

The CLIA number assigned to this NPI record is 01D2097760 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 6/4/2010 and was last updated on 10/19/2010.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223P0221XDentistPediatric Dentistry5647ALABAMAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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