| Medplex Pediatric Dentistry, Inc. | |
|
4515 Southlake Pkwy Suite 200 Birmingham AL 35244-3317 | |
| (205) 453-0314 | |
| (205) 453-0315 |
| Full Name | Medplex Pediatric Dentistry, Inc. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4515 Southlake Pkwy, Birmingham, Alabama |
| Authorized Official Name and Position | Richard Baker Chambliss (PRESIDENT) |
| Authorized Official Contact | 2054530314 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medplex Pediatric Dentistry, Inc. 4515 Southlake Pkwy Suite 200 Birmingham AL 35244-3317 Ph: (205) 453-0314 | Medplex Pediatric Dentistry, Inc. 4515 Southlake Pkwy Suite 200 Birmingham AL 35244-3317 Ph: (205) 453-0314 |
| NPI Number | 1518078674 |
|---|---|
| Provider Enumeration Date | 08/31/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518078674 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5181 (Alabama) | Primary |
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