PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM LLC NPI 1952774945

NPI Information

PEDIATRIC DENTAL ASSOCIATES OF BIRMINGHAM, 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 DENTAL ASSOCIATES OF BIRMINGHAM, LLC NPI is 1952774945. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1613 11TH AVE S
BIRMINGHAM, AL
ZIP 35205-703
Phone: (205) 586-9922

The provider's authorized official is Thomas G Willingham .
The authorized official title is Partner and has the following contact phone number (205) 586-9922.

The enumeration date for this NPI number is 11/12/2015 and was last updated on 11/12/2015.

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:

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