ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA P.C. NPI 1942614417

NPI Information

  • NPI: 1942614417
  • Provider Name: ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 3439 B MCGEHEE RD STE 22
    MONTGOMERY, AL
    ZIP 36111
  • Phone: (334) 284-0228

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NPI Details

ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. is a pediatric dentistry dentist in Montgomery, 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. ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. NPI is 1942614417. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3439 B MCGEHEE RD STE 22
MONTGOMERY, AL
ZIP 36111-392
Phone: (334) 284-0228
Fax: (334) 288-1825

The provider's authorized official is Sherrie Edmondson .
The authorized official title is Manager, Licensing & Credentialing and has the following contact phone number (629) 999-5014.

The enumeration date for this NPI number is 6/12/2014 and was last updated on 1/4/2022.

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
11223P0221XDentistPediatric DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1161491MEDICAIDALABAMA

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: 11/21/2025

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