| Jasper Pediatric Dentistry, Llc | |
|
4330 Highway 78 E Suite 121 Jasper AL 35501-8905 | |
| (205) 384-9104 | |
| (205) 384-9102 |
| Full Name | Jasper Pediatric Dentistry, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4330 Highway 78 E, Jasper, Alabama |
| Authorized Official Name and Position | Katrina Carol White (OWNER) |
| Authorized Official Contact | 2053849104 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jasper Pediatric Dentistry, Llc 4330 Highway 78 E Suite 121 Jasper AL 35501-8905 Ph: (205) 384-9104 | Jasper Pediatric Dentistry, Llc 4330 Highway 78 E Suite 121 Jasper AL 35501-8905 Ph: (205) 384-9104 |
| NPI Number | 1649303355 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649303355 | NPI | - | NPPES |
| 51506630 | Other | AL | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4967 (Alabama) | Primary |
Bivona And Branstetter Family Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1208 Highway 78 E, Jasper, AL 35501 Phone: 205-221-2733 | |
Jerry L. Boshell, D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1606 6th Ave S, Jasper, AL 35501 Phone: 205-221-2330 Fax: 205-221-3961 | |
Bivona Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Highway 78 E, Jasper, AL 35501 Phone: 205-387-8888 Fax: 205-387-8118 | |
Dr H Ron Brown Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1606 Hwy 78 E, Jasper, AL 35504 Phone: 205-221-3003 | |
Stafford Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 300 N Airport Rd, Ste 1, Jasper, AL 35504 Phone: 205-221-6700 Fax: 205-221-9194 | |
Ansley P Allen Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Center Dr Ste 200, Jasper, AL 35501 Phone: 205-384-6000 | |
J. Tyler Cummins Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1206 Highway 78 E, Jasper, AL 35501 Phone: 205-221-9190 Fax: 205-384-4262 |