Pad Ortho LLC

NPI #1205319605 in Hoover, Alabama

Provider Information

NPI Number: 1205319605
Entity Type: Organization
Organization Name: Pad Ortho LLC
Subpart: Yes (part of a larger organization)
Parent Organization: PEDIATRIC AND ADOLESCENT DENTISTRY, LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Sep 11, 2018
Last Updated: Sep 11, 2018

Practice Location

Address: 1015 BROCKS GAP PKWY
City: Hoover
State: Alabama
ZIP Code: 35244-4032
Phone: (205) 982-0112

Authorized Official

Name: JOEY WEST
Title: OFFICE MANAGER
Phone: (205) 982-0112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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