Pell City Orthodontics LLC

NPI #1922885094 in Pell City, Alabama

Provider Information

NPI Number: 1922885094
Entity Type: Organization
Organization Name: Pell City Orthodontics LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Sep 12, 2023
Last Updated: Sep 12, 2023

Practice Location

Address: 50 CROPWELL DR # 1
City: Pell City
State: Alabama
ZIP Code: 35128-7552
Phone: (205) 564-0426

Authorized Official

Name: DR. BENJAMIN SAMUELSON, DMD, MS
Title: OWNER
Phone: (205) 910-0143

Specialties & Taxonomy Codes

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

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