North Jefferson Pediatric Dentistry, Llc

NPI 1043351950 - Dentist - 1223P0221X

NPI Details
NPI 1043351950
Enumeration Date 02/12/2007
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name SELENA D SELENA
Position OFFICE MANAGER
Phone (205) 631-2240
Fax (205) 631-1611
Practice Location
925 SHARIT AVE
STUITE 113
GARDENDALE AL, 35071-5000, US
Phone (205) 631-2240
Fax (205) 631-1611
Business Location
925 SHARIT AVE
STUITE 113
GARDENDALE AL, 35071-5000, US
Phone (205) 631-2240
Fax (205) 631-1611
Toxanomy
Taxonomy Code 1223P0221X
License State Alabama
License Number 4970
Remove 1043351950 NPI Number
 

According to our database, North Jefferson Pediatric Dentistry, Llc NPI is 1043351950, taxonomy code is 1223P0221X and license number is 4970, license state is located at Alabama. North Jefferson Pediatric Dentistry, Llc physically located at 925 Sharit Ave, Gardendale AL, 35071-5000. NPI Number 1033115704 has the healthcare provider type.

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1043351950 NPI number is provided on an as is basis without warranty of any kind. 1043351950 is maintained by the National Plan & Provider Enumeration System. The contents of North Jefferson Pediatric Dentistry, Llc are for informational purposes only.