| Advantage Dental Oral Health And Vision Center Of Alabama, P.c. | |
|
1911 Skyland Blvd E Suite A-3 Tuscaloosa AL 35405-1541 | |
| (205) 469-0444 | |
| (205) 469-0443 |
| Full Name | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1911 Skyland Blvd E, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Sherrie Edmondsn (MANAGER, LICENSING & CREDENTIALING) |
| 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. 3322 W End Ave Ste 400 Nashville TN 37203-6805 Ph: (629) 999-5014 | Advantage Dental Oral Health And Vision Center Of Alabama, P.c. 1911 Skyland Blvd E Suite A-3 Tuscaloosa AL 35405-1541 Ph: (205) 469-0444 |
| NPI Number | 1740551027 |
|---|---|
| Provider Enumeration Date | 01/19/2012 |
| Last Update Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740551027 | NPI | - | NPPES |
| 136056 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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