Tuscaloosa Pediatric Dentistry, P.c. | |
2415 Veterans Memorial Pkwy Tuscaloosa AL 35404-4137 | |
(205) 556-6100 | |
(205) 556-6755 |
Full Name | Tuscaloosa Pediatric Dentistry, P.c. |
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Speciality | Dentist - Pediatric Dentistry |
Location | 2415 Veterans Memorial Pkwy, Tuscaloosa, Alabama |
Authorized Official Name and Position | William Wesley Hollowell (PRESIDENT) |
Authorized Official Contact | 2055566100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tuscaloosa Pediatric Dentistry, P.c. 2415 Veterans Memorial Pkwy Tuscaloosa AL 35404-4137 Ph: (205) 556-6100 | Tuscaloosa Pediatric Dentistry, P.c. 2415 Veterans Memorial Pkwy Tuscaloosa AL 35404-4137 Ph: (205) 556-6100 |
NPI Number | 1588843635 |
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Provider Enumeration Date | 10/25/2007 |
Last Update Date | 10/25/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588843635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 5447 (Alabama) | Primary |
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