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VESTAVIA DENTAL GROUP P C
NPI 1629456488
Dentist - General Practice in Birmingham, AL

Active since May 13, 2015
2112 LYNNGATE DR, BIRMINGHAM, AL 35216(205) 822-0155(205) 978-5514 Get Directions Write a Review

NPPES record last updated: May 13, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vestavia Dental Group P C NPPES

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

VESTAVIA DENTAL GROUP P C (NPI 1629456488) is a healthcare organization registered as a general practice in Birmingham, Alabama and active in the NPI registry since May 2015. The organization lists Robert E Sanderson, President, as its authorized official.

NPPES Registry Identity

NPI1629456488
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameVESTAVIA DENTAL GROUP P C
Location Address2112 LYNNGATE DRBirmingham, AL 35216-5244
Mailing Address2112 Lynngate DrBirmingham, AL 35216-5244 · (205) 822-0155 · Fax (205) 978-5514
Phone(205) 822-0155
Fax(205) 978-5514
Organization SubpartNo
Authorized OfficialRobert E SandersonPresident · (205) 822-0155
Enumeration DateMay 13, 2015
✔ NPI 1629456488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2112 LYNNGATE DR, Birmingham, AL 35216
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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

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

DR. ROBERT E SANDERSON D.M.D.
Dentist (General Practice)
2112 LYNNGATE DR
HOOVER, AL 35216
Jefferson County (205) 822-0155

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 Vestavia Dental Group P C's NPI number?

The NPI number for Vestavia Dental Group P C is 1629456488. It was assigned to this organization in the NPPES registry on May 13, 2015.

Where is Vestavia Dental Group P C located?

Vestavia Dental Group P C is located at 2112 Lynngate Dr, Birmingham, AL 35216. The listed phone number is (205) 822-0155.

What is Vestavia Dental Group P C's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Vestavia Dental Group P C was last updated on May 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.