| Birmingham Pediatric Dental Care Associates | |
|
1613 11th Ave S Birmingham AL 35205-4703 | |
| (205) 933-1363 | |
| (205) 933-1365 |
| Full Name | Birmingham Pediatric Dental Care Associates |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1613 11th Ave S, Birmingham, Alabama |
| Authorized Official Name and Position | Frederick B Smith (PRESIDENT) |
| Authorized Official Contact | 2059331363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birmingham Pediatric Dental Care Associates 1613 11th Ave S Birmingham AL 35205-4703 Ph: (205) 933-1363 | Birmingham Pediatric Dental Care Associates 1613 11th Ave S Birmingham AL 35205-4703 Ph: (205) 933-1363 |
| NPI Number | 1366620155 |
|---|---|
| Provider Enumeration Date | 02/05/2008 |
| Last Update Date | 02/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366620155 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 2693 (Alabama) | Primary |
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