ADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
NPI 1225403397
Dentist - Pediatric Dentistry in Phenix City, AL

Active since December 01, 2015
1810 STADIUM DR, SUITE 120, PHENIX CITY, AL 36867(334) 480-4004(334) 480-4040 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2021, Feb 24, 2016, Jan 20, 2016 and 1 more (4 updates tracked since 2015).

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 1225403397) is a healthcare organization registered as a pediatric dentistry in Phenix City, Alabama and active in the NPI registry since December 2015. The organization lists Sherrie Edmondson, Manager, Licensing & Credentialing, as its authorized official.

NPPES Registry Identity

NPI1225403397
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameADVANTAGE DENTAL ORAL HEALTH AND VISION CENTER OF ALABAMA, P.C.
Location Address1810 STADIUM DR, SUITE 120Phenix City, AL 36867-3177
Mailing Address230 E 10th St, Suite 106Anniston, AL 36207-5771 · (256) 741-7340 · Fax (256) 741-7373
Fax(334) 480-4040
Organization SubpartNo
Authorized OfficialSherrie EdmondsonManager, Licensing & Credentialing · (629) 999-5014
Enumeration DateDecember 1, 2015
Last NPPES UpdateDecember 30, 20214 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
NPI 1225403397 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.

1810 STADIUM DR, Phenix City, AL 36867

Other Identifiers 1

Medicaid180917AL

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 12

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

Nurse Practitioner (Family)
1810 STADIUM DR, SUITE 220
PHENIX CITY, AL 36867
Family Medicine
1810 STADIUM DR, SUITE 220
PHENIX CITY, AL 36867
Family Medicine
1810 STADIUM DR, STE 240
PHENIX CITY, AL 36867
Surgery
1810 STADIUM DR, SUITE 130
PHENIX CITY, AL 36867
Pharmacist
1810 STADIUM DR, SUITE 100
PHENIX CITY, AL 36867
Podiatrist
1810 STADIUM DR, SUITE 120
PHENIX CITY, AL 36867
Physical Medicine & Rehabilitation
1810 STADIUM DR, SUITE 130
PHENIX CITY, AL 36867
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1810 STADIUM DR, SUITE 130
PHENIX CITY, AL 36867

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advantage Dental Oral Health And Vision Center Of Alabama, P.C.'s NPI number?

The NPI number for Advantage Dental Oral Health And Vision Center Of Alabama, P.C. is 1225403397. It was assigned to this organization in the NPPES registry on December 1, 2015.

Where is Advantage Dental Oral Health And Vision Center Of Alabama, P.C. located?

Advantage Dental Oral Health And Vision Center Of Alabama, P.C. is located at 1810 Stadium Dr Suite 120, Phenix City, AL 36867. The listed phone number is (334) 480-4004.

What is Advantage Dental Oral Health And Vision Center Of Alabama, P.C.'s specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Advantage Dental Oral Health And Vision Center Of Alabama, P.C. was last updated on December 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.