CENTRAL AVENUE DENTISTRY LLC NPI 1407504186

NPI Information

NPI: 1407504186
Provider Name: CENTRAL AVENUE DENTISTRY LLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
2901 CENTRAL AVE
BIRMINGHAM, AL
ZIP 35209
Phone: (205) 870-1363
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CENTRAL AVENUE DENTISTRY LLC is a dental clinic center in Birmingham, AL. CENTRAL AVENUE DENTISTRY LLC NPI is 1407504186. The provider is registered as an organization entity type.

The provider's business location address is:

2901 CENTRAL AVE
BIRMINGHAM, AL
ZIP 35209-505
Phone: (205) 870-1363

The provider's authorized official is Chelsea Ashworth Maniscalco .
The authorized official title is Dentist and has the following contact phone number (205) 870-1363.

The enumeration date for this NPI number is 3/12/2022 and was last updated on 3/28/2022.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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: 4/28/2024

NPI Synchronization or Removal

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