Pda Of Trussville

LBN: Pda Of Trussville
Pda Of Trussville is an health care organization with primary practice located at 4643 Camp Coleman Rd Ste 101 , Trussville AL 35173-2838. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Pda Of Trussville can be contacted via phone (678) 628-8303, or through Chambliss, Richard Baker via phone (205) 453-0314.

Contact Information

Primary practice address
4643 Camp Coleman Rd Ste 101 Trussville AL 35173-2838
Phone: (678) 628-8303
Fax: (256) 285-1485
Website:
Map and Directions
Authorized official contact:
Name: Chambliss, Richard Baker Doctor of Dental Medicine (DMD)
Phone: (205) 453-0314

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1841046703
LBN Legal business name Pda Of Trussville
DBA Doing business as
Authorized official Chambliss, Richard Baker Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 30th, 2024
Last updated May 5th, 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.

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