Advance Dental, P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5830-C1 Issued in AL

Legal business name

ADVANCE DENTAL, P.C.

Practice address

242 West Valley Avenue Suite 101
Birmingham, AL 35209-3635

Phone

(205) 290-7878

Fax

(205) 290-7880

NPI assigned

Aug 29, 2012

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Marc Christopher Vance, D.M.D.NPI 1700185824

Title

Owner

Phone

(205) 757-7509

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marc Christopher Vance, D.M.D.

  • General Practice Dentistry
  • Birmingham, AL
  • NPI 1700185824
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1053669648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 WEST VALLEY AVENUE SUITE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093635",
            "telephone_number": "205-290-7878",
            "fax_number": "205-290-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 WEST VALLEY AVENUE SUITE 101",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352093635",
            "telephone_number": "205-290-7878",
            "fax_number": "205-290-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE DENTAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-29",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-757-7509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "AL",
            "license": "5830-C1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Dental Clinic/Center in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.