NPI 1043954647
Pediatric Dental Associates of Hoover, LLC
Practice location
- Address
- 5336 Stadium Trace Pkwy STE 112, Hoover, AL 35244-4581
- Phone
- (205) 988-9678
Authorised official
- Name
- Benjamin Earl Samuelson
- Title
- Orthodontist/Owner
- Phone
- (205) 910-0143
Registered specialties
Pediatric Dentistry
Primary
Registry record
- NPI
- 1043954647
- Entity type
- Organization
- NPI issued
- 21 Apr 2022
- Record last updated
- 21 Apr 2022
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.