OrganizationActive
Advantage Dental Oral Health and Vision Center of Alabama, P.C.
NPI 1114186699 · General Practice Dentistry · Enterprise, AL
Provider details
- NPI number
- 1114186699
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sherrie Edmondson, Sr Manager, L& C(629) 999-5014
Specialties & taxonomies
Dental Providers
- Pediatric Dentistry1223P0221X
Dental Providers
Practice location
1100 Rucker Blvd Ste A-1
Enterprise, AL 36330-3623
Phone: (334) 347-5550
Fax: (334) 347-5551
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 411714
Boston, MA 02241-6805
Registry dates
- Enumerated
- 2008-06-09
- Last updated
- 2024-03-04
- Certified
- 2024-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.