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Contact Information

ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
702 S QUINTARD AVE
ANNISTON, AL36201-6677
 Phone: 256-741-7340
 Fax:
 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 # 1689867285
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 08/27/2007
Last updated 01/04/2022 - About 4 years ago
Identifiers
AL License # S-839-TA-366
AL Medicaid 529932849
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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