OrganizationActive
Advantage Dental Oral Health and Vision Center of Alabama, P.C.
NPI 1194030387 · Pediatric Dentistry · Clanton, AL
Provider details
- NPI number
- 1194030387
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Sherrie Edmondson, Manager, Licensing & Credentialing(629) 999-5014
Specialties & taxonomies
Dental Providers
Practice location
1141 Jasper Dennis Rd
Clanton, AL 35045-3783
Phone: (205) 312-0001
Fax: (205) 312-0002
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 411714
Boston, MA 02241-6805
Registry dates
- Enumerated
- 2010-08-11
- 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.