| Pediatric Dental Associates Of Hoover, Llc | |
|
5336 Stadium Trace Pkwy Ste 112 Hoover AL 35244-4581 | |
| (205) 988-9678 | |
| Not Available |
| Full Name | Pediatric Dental Associates Of Hoover, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5336 Stadium Trace Pkwy Ste 112, Hoover, Alabama |
| Authorized Official Name and Position | Benjamin Earl Samuelson (ORTHODONTIST/OWNER) |
| Authorized Official Contact | 2059100143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Dental Associates Of Hoover, Llc 5336 Stadium Trace Pkwy Ste 112 Hoover AL 35244-4581 Ph: () - | Pediatric Dental Associates Of Hoover, Llc 5336 Stadium Trace Pkwy Ste 112 Hoover AL 35244-4581 Ph: (205) 988-9678 |
| NPI Number | 1043954647 |
|---|---|
| Provider Enumeration Date | 04/21/2022 |
| Last Update Date | 04/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043954647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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