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Contact Information

ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
1911 SKYLAND BLVD E
SUITE A3
TUSCALOOSA, AL35405
 Phone: 205-469-0444
 Fax: 205-469-0433
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA PC · (Female)

NPI # 1982978490
Status Active
Credentials
Entity Individual
Enumeration date 03/01/2012
Last updated 12/30/2021 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL Medicaid 136523
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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