| Alabama Pediatric Dentistry | |
|
3500 Independence Dr Ste 100 Birmingham AL 35209-2687 | |
| (205) 802-7277 | |
| Not Available |
| Full Name | Alabama Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3500 Independence Dr, Birmingham, Alabama |
| Authorized Official Name and Position | Michelle Bajjalieh (DENTIST) |
| Authorized Official Contact | 2058027277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alabama Pediatric Dentistry 3500 Independence Dr Ste 100 Birmingham AL 35209-2627 Ph: (205) 802-7277 | Alabama Pediatric Dentistry 3500 Independence Dr Ste 100 Birmingham AL 35209-2687 Ph: (205) 802-7277 |
| NPI Number | 1861673238 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 04/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861673238 | NPI | - | NPPES |
| 009934632 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5189 (Alabama) | Primary |
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