Pda Orthodontics Trussville Pllc
NPI #1043815590 in Trussville, Alabama
Provider Information
- NPI Number
- 1043815590
- Entity Type
- Organization
- Organization Name
- Pda Orthodontics Trussville Pllc
- Primary Specialty
- Dentist - Orthodontics and Dentofacial Orthopedics
- Enumeration Date
- Dec 2, 2020
- Last Updated
- Dec 2, 2020
Practice Location
- Address
- 4901 DEERFOOT PKWY STE 101
- City
- Trussville
- State
- Alabama
- ZIP Code
- 35173-2697
- Phone
- (205) 508-7135
Authorized Official
- Name
- DR. BENJAMIN EARL SAMUELSON, DMD, MS
- Title
- OWNER/ORTHODONTIST
- Phone
- (205) 910-0143
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
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|---|---|
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