| Advantage Dental Oral Health And Vision Center Of Alabama, P.c. | |
|
404 4th St Nw Attalla AL 35954-2203 | |
| (256) 691-0040 | |
| (256) 691-0041 |
| Full Name | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 404 4th St Nw, Attalla, Alabama |
| Authorized Official Name and Position | Sherrie Edmondson (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6299995014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advantage Dental Oral Health And Vision Center Of Alabama, P.c. Po Box 411714 Boston MA 02241-6805 Ph: (629) 999-5014 | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. 404 4th St Nw Attalla AL 35954-2203 Ph: (256) 691-0040 |
| NPI Number | 1285937847 |
|---|---|
| Provider Enumeration Date | 12/20/2010 |
| Last Update Date | 03/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285937847 | NPI | - | NPPES |
| 124927 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
General Dentistry And Same Day Denture Clinic,llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 Gilbert Ferry Rd Se, B, Attalla, AL 35954 Phone: 256-845-3050 Fax: 256-845-3057 |