Advantage Dental Oral Health And Vision Center Of Alabama, P.c. | |
1100 Rucker Blvd Ste A-1 Enterprise AL 36330-3623 | |
(334) 347-5550 | |
(334) 347-5551 |
Full Name | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. |
---|---|
Speciality | Dentist - General Practice |
Location | 1100 Rucker Blvd Ste A-1, Enterprise, Alabama |
Authorized Official Name and Position | Sherrie Edmondson (SR MANAGER, L& C) |
Authorized Official Contact | 6299995014 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Advantage Dental Oral Health And Vision Center Of Alabama, P.c. Po Box 411714 Boston MA 02241-6805 Ph: (629) 999-5014 | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. 1100 Rucker Blvd Ste A-1 Enterprise AL 36330-3623 Ph: (334) 347-5550 |
NPI Number | 1114186699 |
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Provider Enumeration Date | 06/09/2008 |
Last Update Date | 03/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114186699 | NPI | - | NPPES |
102590 | Medicaid | AL | |
3633798 | Other | AL | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
1223P0221X | Dentist - Pediatric Dentistry | (Alabama) | Secondary |
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