Advantage Dental Oral Health And Vision Center Of Alabama, P.C.
LBN: Advantage Dental Oral Health And Vision Center Of Alabama, P.C.
Advantage Dental Oral Health And Vision Center Of Alabama, P.C. is an health care organization with primary practice located at 1100 Rucker Blvd Ste A-1 , Enterprise AL 36330-3623. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / General Practice is the primary health care specialty.
Advantage Dental Oral Health And Vision Center Of Alabama, P.C. can be contacted via phone (334) 347-5550, or through Edmondson, Sherrie via phone (629) 999-5014.
Contact Information
Primary practice address
1100 Rucker Blvd Ste A-1
Enterprise AL 36330-3623
Phone: (334) 347-5550
Fax: (334) 347-5551
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | Alabama |
Profile Details
| NPI number | 1114186699 |
|---|---|
| LBN Legal business name | Advantage Dental Oral Health And Vision Center Of Alabama, P.C. |
| DBA Doing business as | |
| Authorized official | Edmondson, Sherrie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 9th, 2008 |
| Last updated | Mar 4th, 2024 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114186699 | NPPES |
| Alabama | MEDICAID | 102590 | |
| Alabama | Other | 3633798 |
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