Children and Teen Dental Group of Alabama
NPI #1245709567 in Hoover, Alabama
Provider Information
- NPI Number
- 1245709567
- Entity Type
- Organization
- Organization Name
- Children and Teen Dental Group of Alabama
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHILDREN AND TEEN DENTAL GROUP OF ALABAMA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 15, 2018
- Last Updated
- Jan 21, 2025
Practice Location
Authorized Official
- Name
- NICOLE CARIDE
- Title
- CREDENTIALING MANAGER
- Phone
- (727) 784-2721
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
| Dentist - General Practice — General Practice |
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