Pediatric And Adolescent Dentistry, Llc
LBN: Pediatric And Adolescent Dentistry, Llc
Pediatric And Adolescent Dentistry, Llc is an health care organization with primary practice located at 5346 Stadium Trace Pkwy Suite 108, Birmingham AL 35244-4582. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Pediatric And Adolescent Dentistry, Llc can be contacted via phone (205) 982-0112, or through Thomas, William Clark via phone (205) 982-0112.
Contact Information
Primary practice address
5346 Stadium Trace Pkwy Suite 108
Birmingham AL 35244-4582
Phone: (205) 982-0112
Fax: (205) 982-0737
Website:
Authorized official contact:
Name: Thomas, William Clark Doctor of Dental Medicine (DMD)
Phone: (205) 982-0112
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 5122 | Alabama |
Profile Details
| NPI number | 1851585079 |
|---|---|
| LBN Legal business name | Pediatric And Adolescent Dentistry, Llc |
| DBA Doing business as | |
| Authorized official | Thomas, William Clark Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 30th, 2007 |
| Last updated | Aug 30th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851585079 | NPPES |
| Alabama | Other | 51540792 | BC/BS |
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