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Contact Information

ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
1141 JASPER DENNIS RD
CLANTON, AL35045-3783
 Phone: 205-312-0001
 Fax: 205-312-0002
 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, P.C.

NPI Number 1427363183
LBN Legal business name ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
Authorized official SHERRIE EDMONDSON - (MANAGER, LICENSING & CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 08/18/2010
Last updated 12/30/2021 - About 4 years ago
Identifiers
AL Medicaid 122347
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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