| Edwards Lake Dental | |
|
1930 Edwards Lake Rd Suite 134 Birmingham AL 35235-3718 | |
| (205) 655-8090 | |
| Not Available |
| Full Name | Edwards Lake Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1930 Edwards Lake Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Andrew Jason Lange (OWNER) |
| Authorized Official Contact | 2056558090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edwards Lake Dental 1930 Edwards Lake Rd Suite 134 Birmingham AL 35235-3718 Ph: (205) 655-8090 | Edwards Lake Dental 1930 Edwards Lake Rd Suite 134 Birmingham AL 35235-3718 Ph: (205) 655-8090 |
| NPI Number | 1225384746 |
|---|---|
| Provider Enumeration Date | 08/02/2012 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225384746 | NPI | - | NPPES |
| 125232 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5760 (Alabama) | Primary |
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› Verified 8 days ago
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Birmingham Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 19th St S, Birmingham, AL 35205 Phone: 205-837-5602 | |
Brookwood Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 Brookwood Medical Ctr Dr, Suite 2, Birmingham, AL 35209 Phone: 205-871-3523 | |
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