| Vital Smiles Alabama, P. C. | |
|
2727 Pleasant Valley Rd Mobile AL 36606-2162 | |
| (205) 271-6841 | |
| Not Available |
| Full Name | Vital Smiles Alabama, P. C. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 2727 Pleasant Valley Rd, Mobile, Alabama |
| Authorized Official Name and Position | George David Johnson (OWNER) |
| Authorized Official Contact | 2052716841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Smiles Alabama, P. C. 1900 Crestwood Blvd Irondale AL 35210-2034 Ph: (205) 271-6841 | Vital Smiles Alabama, P. C. 2727 Pleasant Valley Rd Mobile AL 36606-2162 Ph: (205) 271-6841 |
| NPI Number | 1205194297 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 04/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205194297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 3061 (Alabama) | Primary |
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