NPI 1003046772

Advantage Dental Oral Health and Vision Center of Alabama, P.C.

Organisation Pediatric Dentistry Leesburg, AL

Practice location

Address: 215c Industrial Blvd, Leesburg, AL 35983-3742
Phone: (256) 526-7601
Fax: (256) 526-7603
Mailing address: PO Box 411714, Boston, MA 02241-6805

Authorised official

Name: Sherrie Edmondson
Title: Manager, Licensing & Credentialing
Phone: (629) 999-5014

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X

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Registry record

NPI: 1003046772
Entity type: Organization
NPI issued: 16 Jul 2009
Record last updated: 4 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.