Organization · Type 2 NPI
Advantage Dental Oral Health and Vision Center of Alabama, P.c.
Pediatric Dentistry · Leesburg, AL
NPI number
1003046772
Active
Practice location
215C Industrial Blvd
Leesburg, AL 35983-3742
Fax (256) 526-7603
Mailing address
PO Box 411714
Boston, MA 02241-6805
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Dentistry Primary | 1223P0221X | None listed |
Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
About NPI 1003046772
Advantage Dental Oral Health and Vision Center of Alabama, P.c.'s National Provider Identifier is 1003046772, issued on Jul 16, 2009. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Leesburg, AL. The record was last updated on Mar 4, 2024.