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4901 Deerfoot Pkwy Ste 101 Trussville AL 35173-2697 | |
| (205) 655-1000 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4901 Deerfoot Pkwy Ste 101, Trussville, Alabama |
| Authorized Official Name and Position | Brian Smith (COO) |
| Authorized Official Contact | 7702315348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2300 Lakeview Pkwy Ste 250 Alpharetta GA 30009-3954 Ph: (727) 784-2721 | 4901 Deerfoot Pkwy Ste 101 Trussville AL 35173-2697 Ph: (205) 655-1000 |
| NPI Number | 1205401304 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 01/21/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205401304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
Pda Orthodontics Trussville Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 Deerfoot Pkwy Ste 101, Trussville, AL 35173 Phone: 205-508-7135 | |
Mccullough And Stevens Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4643 Camp Coleman Rd Ste 125, Trussville, AL 35173 Phone: 205-218-9823 | |
Pediatric Dentistry East, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 N Chalkville Rd, Trussville, AL 35173 Phone: 205-655-1000 Fax: 205-228-8044 | |
Alabama Orthodontic Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Chalkville Rd, Trussville, AL 35173 Phone: 205-655-3939 Fax: 205-655-3939 | |