Trussville Pediatric Dentistry

LBN: Trussville Pediatric Dentistry
Trussville Pediatric Dentistry is an health care organization with primary practice located at 123 N Chalkville Rd Ste 1, Trussville AL 35173-1376. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Trussville Pediatric Dentistry can be contacted via phone (205) 655-1000, or through Willingham, Thomas G via phone (205) 655-1000.

Contact Information

Primary practice address
123 N Chalkville Rd Ste 1 Trussville AL 35173-1376
Phone: (205) 655-1000
Fax: (205) 655-7196
Website:
Map and Directions
Authorized official contact:
Name: Willingham, Thomas G Doctor of Dental Medicine (DMD)
Phone: (205) 655-1000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 5379 Alabama

Profile Details

NPI number 1801077334
LBN Legal business name Trussville Pediatric Dentistry
DBA Doing business as
Authorized official Willingham, Thomas G Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2007
Last updated Nov 19th, 2009 - about 16 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1801077334 NPPES
Alabama MEDICAID 559929290

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