| Vestavia Dental Group P C | |
|
2112 Lynngate Dr Birmingham AL 35216-5244 | |
| (205) 822-0155 | |
| (205) 978-5514 |
| Full Name | Vestavia Dental Group P C |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2112 Lynngate Dr, Birmingham, Alabama |
| Authorized Official Name and Position | Robert E Sanderson (PRESIDENT) |
| Authorized Official Contact | 2058220155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vestavia Dental Group P C 2112 Lynngate Dr Birmingham AL 35216-5244 Ph: (205) 822-0155 | Vestavia Dental Group P C 2112 Lynngate Dr Birmingham AL 35216-5244 Ph: (205) 822-0155 |
| NPI Number | 1629456488 |
|---|---|
| Provider Enumeration Date | 05/13/2015 |
| Last Update Date | 05/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629456488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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