| Shelby Pediatric Dentistry, Pc | |
|
2490 Pelham Parkway Pelham AL 35124 | |
| (205) 419-7444 | |
| Not Available |
| Full Name | Shelby Pediatric Dentistry, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 2490 Pelham Parkway, Pelham, Alabama |
| Authorized Official Name and Position | Richard Turner Baxter (OWNER / DENTIST) |
| Authorized Official Contact | 2058763989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Pediatric Dentistry, Pc 123 N Lake Dr Birmingham AL 35242-7020 Ph: () - | Shelby Pediatric Dentistry, Pc 2490 Pelham Parkway Pelham AL 35124 Ph: (205) 419-7444 |
| NPI Number | 1962813188 |
|---|---|
| Provider Enumeration Date | 05/09/2014 |
| Last Update Date | 05/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962813188 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5946 (Alabama) | Primary |
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› Verified 9 days ago
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