Advantage Dental Oral Health and Vision Center of Alabama, P.C.
Organization Active NPI Optometrist · Boaz, AL
NPI 1972746865 · NPPES record last updated Dec 31, 2021
Key facts
- NPI
- 1972746865
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
- Practice address
- 601 Medical Center Pkwy
Boaz, AL 35957-5937 - Phone
- (256) 840-2021
- Fax
- (256) 840-2864
- NPI assigned
- Apr 8, 2009
- Organization subpart
- No
Authorized official
- Name
- Sherrie Edmondson
- Title
- Manager, Licensing & Credentialing
- Phone
- (629) 999-5014
Corporate family (same tax ID) 30
Practitioners 6
-
Rylee Kristen Burt, DMD
-
Jacob L. Turner, DMD
-
Tammye Davis Whited, DMD
-
Iwona Zajkowski, DMD
National Provider Directory
- Tax ID family
- Advantage Dental Oral Health and Vision Center of Alabama PC
Locations
601 Medical Center Pkwy
Boaz, AL 35957
Phone (256) 840-2021
603B Medical Center Pkwy
Boaz, AL 35957
Phone (256) 558-6000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
601 Medical Center Pkwy
Boaz, AL 35957-5937
Mailing address
3322 W End Ave Ste 400
Nashville, TN 37203-6805
Phone (629) 999-5014
Other names
- Sarrell Regional Eye Center
Other providers in Boaz, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 31, 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.