Pediatric Dental Associates | |
404 S 5th St Gadsden AL 35901-5102 | |
(256) 546-4604 | |
(256) 546-4674 |
Full Name | Pediatric Dental Associates |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 404 S 5th St, Gadsden, Alabama |
Authorized Official Name and Position | Michael A Holmes (PRESIDENT) |
Authorized Official Contact | 2565464604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Pediatric Dental Associates 404 S 5th St Gadsden AL 35901-5102 Ph: (256) 546-4604 | Pediatric Dental Associates 404 S 5th St Gadsden AL 35901-5102 Ph: (256) 546-4604 |
NPI Number | 1265612469 |
---|---|
Provider Enumeration Date | 11/06/2007 |
Last Update Date | 06/21/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265612469 | NPI | - | NPPES |
51516050 | Other | AL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (Alabama) | Primary |
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