Pda Orthodontics, LLC

NPI #1942855176 in Hoover, Alabama

Provider Information

NPI Number: 1942855176
Entity Type: Organization
Organization Name: Pda Orthodontics, LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Aug 5, 2019
Last Updated: Sep 12, 2023

Practice Location

Address: 5564 GROVE BLVD STE A
City: Hoover
State: Alabama
ZIP Code: 35226-4601
Phone: (205) 988-9678

Authorized Official

Name: DR. BENJAMIN EARL SAMUELSON, DMD, MS
Title: ORTHODONTIST/PARTNER
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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