Advantage Dental Oral Health and Vision Center of Alabama, P.C.
Organization Active NPI Pediatric Dentistry · Dothan, AL
NPI 1811301385 · NPPES record last updated Dec 30, 2021
Key facts
- NPI
- 1811301385
- 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
- 5412 Montgomery Hwy Ste 8
Dothan, AL 36303-1657 - Phone
- (334) 983-1730
- Fax
- (334) 983-1725
- NPI assigned
- Jun 12, 2014
- Organization subpart
- No
Authorized official
- Name
- Sherrie Edmondson
- Title
- Manager, Licensing & Credentialing
- Phone
- (629) 999-5014
Corporate family (same tax ID) 30
Practitioners 1
-
Stella Faria, DDS
National Provider Directory
- Tax ID family
- Advantage Dental Oral Health and Vision Center of Alabama PC
Locations
5412 Montgomery Hwy
Dothan, AL 36303
Phone (334) 983-1730
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry |
1223P0221X | Yes |
Addresses
Primary practice location
5412 Montgomery Hwy Ste 8
Dothan, AL 36303-1657
Mailing address
3322 W End Ave Ste 400
Nashville, TN 37203-6805
Phone (629) 999-5014
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 161859 | Medicaid | AL |
Other providers in Dothan, AL
- Advanced Mobility Medical Equip Supply
- Advanced Provider Solutions, LLC
- Advanced Urgent Centers LLC
- Damni Advani
- Advantage Dental Oral Health and Vision Center of Alabama, P.C.
- Affiliated Dermatology, PC
- Affordable Dentures & Implants - Dothan II, P.C.
- Anika Ajaykumar Agarwal
- Ahmad Mostafa Abdelbaset Ahmad
- Mahmoud Ahmad
All providers in Dothan, 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.