| Children And Teen Dental Group Of Alabama | |
|
1324 Main St Gardendale AL 35071-2496 | |
| (205) 631-4572 | |
| Not Available |
| Full Name | Children And Teen Dental Group Of Alabama |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1324 Main St, Gardendale, Alabama |
| Authorized Official Name and Position | Brian Smith (CFO) |
| Authorized Official Contact | 7702315348 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children And Teen Dental Group Of Alabama 342 N Main St Ste 200 Alpharetta GA 30009-8376 Ph: (770) 744-4522 | Children And Teen Dental Group Of Alabama 1324 Main St Gardendale AL 35071-2496 Ph: (205) 631-4572 |
| NPI Number | 1508345828 |
|---|---|
| Provider Enumeration Date | 08/08/2018 |
| Last Update Date | 08/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508345828 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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