| Pearly White Dentistry | |
|
3145 Green Valley Rd Suite 101 Vestavia AL 35243-5256 | |
| (205) 970-7292 | |
| (205) 623-3036 |
| Full Name | Pearly White Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 3145 Green Valley Rd, Vestavia, Alabama |
| Authorized Official Name and Position | Haleigh Stidham Blackwell (PRESIDENT) |
| Authorized Official Contact | 2059707292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearly White Dentistry 3145 Green Valley Rd Suite 101 Vestavia AL 35243-5256 Ph: (205) 970-7292 | Pearly White Dentistry 3145 Green Valley Rd Suite 101 Vestavia AL 35243-5256 Ph: (205) 970-7292 |
| NPI Number | 1174804058 |
|---|---|
| Provider Enumeration Date | 09/06/2011 |
| Last Update Date | 08/08/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174804058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5852 (Alabama) | Primary |
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