| Trussville Pediatric Dentistry | |
|
123 N Chalkville Rd Ste 1 Trussville AL 35173-1376 | |
| (205) 655-1000 | |
| (205) 655-7196 |
| Full Name | Trussville Pediatric Dentistry |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 123 N Chalkville Rd, Trussville, Alabama |
| Authorized Official Name and Position | Thomas G Willingham (OWNER) |
| Authorized Official Contact | 2056551000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trussville Pediatric Dentistry 123 N Chalkville Rd Ste 1 Trussville AL 35173-1376 Ph: (205) 655-1000 | Trussville Pediatric Dentistry 123 N Chalkville Rd Ste 1 Trussville AL 35173-1376 Ph: (205) 655-1000 |
| NPI Number | 1801077334 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/19/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801077334 | NPI | - | NPPES |
| 559929290 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 5379 (Alabama) | Primary |
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Pda Orthodontics Trussville Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 Deerfoot Pkwy Ste 101, Trussville, AL 35173 Phone: 205-508-7135 | |
Mccullough And Stevens Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4643 Camp Coleman Rd Ste 125, Trussville, AL 35173 Phone: 205-218-9823 | |
Children And Teen Dental Group Of Alabama Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4901 Deerfoot Pkwy Ste 101, Trussville, AL 35173 Phone: 205-655-1000 | |
Pediatric Dentistry East, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 N Chalkville Rd, Trussville, AL 35173 Phone: 205-655-1000 Fax: 205-228-8044 | |
Orthodontics East Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4643 Camp Coleman Rd, Trussville, AL 35173 Phone: 205-655-0603 | |
Alabama Orthodontic Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 125 N Chalkville Rd, Trussville, AL 35173 Phone: 205-655-3939 Fax: 205-655-3939 | |
Argo Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 750 Hwy 11, Suite 4, Trussville, AL 35173 Phone: 205-467-2211 Fax: 205-467-9744 |