| Children And Teen Dental Group Of Alabama | |
|
4901 Deerfoot Pkwy Ste 101 Trussville AL 35173-2697 | |
| (205) 655-1000 | |
| Not Available |
| Full Name | Children And Teen Dental Group Of Alabama |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4901 Deerfoot Pkwy Ste 101, Trussville, Alabama |
| Authorized Official Name and Position | Brian Smith (COO) |
| 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 4901 Deerfoot Pkwy Ste 101 Trussville AL 35173-2697 Ph: (205) 655-1000 |
| NPI Number | 1205401304 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205401304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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Pda Orthodontics Trussville Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 Deerfoot Pkwy Ste 101, Trussville, AL 35173 Phone: 205-508-7135 | |
Mccullough And Stevens Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4643 Camp Coleman Rd Ste 125, Trussville, AL 35173 Phone: 205-218-9823 | |
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