| Pediatric Dental Associates, Llc | |
|
2806 Dr John Haynes Dr Ste B Pell City AL 35125-1485 | |
| (205) 338-4227 | |
| (205) 338-4204 |
| Full Name | Pediatric Dental Associates, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2806 Dr John Haynes Dr Ste B, Pell City, Alabama |
| Authorized Official Name and Position | Richard B Chambliss (PRESIDENT) |
| Authorized Official Contact | 2053384227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Associates, Llc 2806 Dr John Haynes Dr Ste B Pell City AL 35125-1485 Ph: (205) 338-4227 | Pediatric Dental Associates, Llc 2806 Dr John Haynes Dr Ste B Pell City AL 35125-1485 Ph: (205) 338-4227 |
| NPI Number | 1700056124 |
|---|---|
| Provider Enumeration Date | 03/03/2008 |
| Last Update Date | 03/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700056124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | LNO5181 (Alabama) | Primary |
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