| Indian Springs Pediatric Dentistry, L.l.c. | |
|
6496 Quail Run Dr Pelham AL 35124-3104 | |
| (205) 739-7773 | |
| Not Available |
| Full Name | Indian Springs Pediatric Dentistry, L.l.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 6496 Quail Run Dr, Pelham, Alabama |
| Authorized Official Name and Position | Rosalynn Yvette Crawford-mckendall (MEMBER) |
| Authorized Official Contact | 2057397773 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indian Springs Pediatric Dentistry, L.l.c. 6496 Quail Run Dr Pelham AL 35124-3104 Ph: (205) 739-7773 | Indian Springs Pediatric Dentistry, L.l.c. 6496 Quail Run Dr Pelham AL 35124-3104 Ph: (205) 739-7773 |
| NPI Number | 1881020857 |
|---|---|
| Provider Enumeration Date | 09/22/2013 |
| Last Update Date | 09/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881020857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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