| Advantage Dental Oral Health And Vision Center Of Alabama, P.c. | |
|
1810 Stadium Dr Suite 120 Phenix City AL 36867-3177 | |
| (334) 480-4004 | |
| (334) 480-4040 |
| Full Name | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1810 Stadium Dr, Phenix City, 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. 230 E 10th St Suite 106 Anniston AL 36207-5771 Ph: (256) 741-7340 | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. 1810 Stadium Dr Suite 120 Phenix City AL 36867-3177 Ph: (334) 480-4004 |
| NPI Number | 1225403397 |
|---|---|
| Provider Enumeration Date | 12/01/2015 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225403397 | NPI | - | NPPES |
| 180917 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
Lana B. Atchley, D.m.d., L.l.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3544 Us Highway 431 N, Phenix City, AL 36867 Phone: 334-298-9900 Fax: 334-664-0953 | |
Robert N Kinsaul Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Sportsman Dr, Phenix City, AL 36867 Phone: 334-297-5890 | |
Ghali Ghali, Dds Professinal Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Sportsman Dr, Phenix City, AL 36867 Phone: 504-641-4888 | |
River Valley Family Dentistry Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1007 Broad St, Phenix City, AL 36867 Phone: 334-297-2990 Fax: 334-297-2955 | |
Riverchase Dental Care Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5009 Riverchase Drive, Building 100 Suite B, Phenix City, AL 36870 Phone: 334-664-1011 | |
Complete Family Dental, P C Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3900 13th Ave, Phenix City, AL 36867 Phone: 334-297-3399 Fax: 334-297-3957 |