OrganizationActive
Advantage Dental Oral Health and Vision Center of Alabama, P.C.
NPI 1225403397 · Pediatric Dentistry · Phenix City, AL
Provider details
- NPI number
- 1225403397
- 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
1810 Stadium Dr
Suite 120
Phenix City, AL 36867-3177
Phone: (334) 480-4004
Fax: (334) 480-4040
Approximate (ZIP-level) locationGet directions
Mailing address
230 E 10th St
Anniston, AL 36207-5771
Registry dates
- Enumerated
- 2015-12-01
- Last updated
- 2021-12-30
- Certified
- 2021-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.