Advantage Dental Oral Health and Vision Center of Alabama, P.C.
Organization Active NPI Pediatric Dentistry · Tuscaloosa, AL
NPI 1740551027 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1740551027
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- Legal business name
- ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
- Practice address
- 1911 Skyland Blvd E
Suite a-3
Tuscaloosa, AL 35405-1541 - Phone
- (205) 469-0444
- Fax
- (205) 469-0443
- NPI assigned
- Jan 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Sherrie Edmondsn
- Title
- Manager, Licensing & Credentialing
- Phone
- (629) 999-5014
Corporate family (same tax ID) 30
Practitioners 3
-
Latricia E Curley, DENTIST
-
Ray Williams, D.D.S.
National Provider Directory
- Tax ID family
- Advantage Dental Oral Health and Vision Center of Alabama PC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
1911 Skyland Blvd E
Suite a-3
Tuscaloosa, AL 35405-1541
Mailing address
3322 W End Ave Ste 400
Nashville, TN 37203-6805
Phone (629) 999-5014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 136056 | Medicaid | AL |
Other providers in Tuscaloosa, AL
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- Jennifer Doyle Adams
- Kimberly Adams
- William Thomas Adams
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- Advantage Dental Oral Health and Vision Center of Alabama, P.C.
- Adventure Pediatric Therapy
- Affilated Podiatrists LLC
- Affordable Dentures & Implants - Tuscaloosa, P.C.
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All providers in Tuscaloosa, AL · Pediatric Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.