ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
NPI 1194030387
Dentist - Pediatric Dentistry in Clanton, AL

Active since August 11, 2010
1141 JASPER DENNIS RD, CLANTON, AL 35045(205) 312-0001(205) 312-0002 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 4, 2024, Dec 30, 2021, Nov 22, 2021 and 2 more (5 updates tracked since 2016).

About Advantage Dental Oral Health And Vision Center Of Alabama, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C. (NPI 1194030387) is a healthcare organization registered as a pediatric dentistry in Clanton, Alabama and active in the NPI registry since August 2010. The organization lists Sherrie Edmondson, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1194030387
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
Location Address1141 JASPER DENNIS RDClanton, AL 35045-3783
Mailing AddressPo Box 411714Boston, MA 02241-6805 · (629) 999-5014
Fax(205) 312-0002
Organization SubpartNo
Authorized OfficialSherrie EdmondsonManager, Licensing & Credentialing · (629) 999-5014
Enumeration DateAugust 11, 2010
Last NPPES UpdateMarch 4, 20245 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
NPI 1194030387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

1141 JASPER DENNIS RD, Clanton, AL 35045

Other Identifiers 1

Medicaid121795AL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1141 JASPER DENNIS RD
CLANTON, AL 35045
Optometrist
1141 JASPER DENNIS RD
CLANTON, AL 35045
Dentist (General Practice)
1141 JASPER DENNIS RD
CLANTON, AL 35045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194030387, enumerated as an "organization" on August 11, 2010.

The provider is located at 1141 JASPER DENNIS RD CLANTON, AL 35045 and the phone number is (205) 312-0001.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.