Advantage Dental Oral Health And Vision Center Of Alabama, P.c. | |
215c Industrial Blvd Leesburg AL 35983-3742 | |
(256) 526-7601 | |
(256) 526-7603 |
Full Name | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. |
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Speciality | Dentist - Pediatric Dentistry |
Location | 215c Industrial Blvd, Leesburg, 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 |
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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. 215c Industrial Blvd Leesburg AL 35983-3742 Ph: (256) 526-7601 |
NPI Number | 1003046772 |
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Provider Enumeration Date | 07/16/2009 |
Last Update Date | 03/04/2024 |
Identifier | Type | State | Issuer |
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1003046772 | NPI | - | NPPES |
112230 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |