North Jefferson Pediatric Dentistry, LLC
NPI #1043351950 in Gardendale, Alabama
Provider Information
- NPI Number
- 1043351950
- Entity Type
- Organization
- Organization Name
- North Jefferson Pediatric Dentistry, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Feb 12, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 925 SHARIT AVE
- Address 2
- STUITE 113
- City
- Gardendale
- State
- Alabama
- ZIP Code
- 35071-5000
- Phone
- (205) 631-2240
Authorized Official
- Name
- MRS. SELENA D DEVINE
- Title
- OFFICE MANAGER
- Phone
- (205) 631-2240
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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