Organization Name: | MCCALLA ORTHODONTICS AND PEDIATRIC DENTISTRY, P.C. |
NPI Number: | 1831377993 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | OLGA M. SANCHEZ-HERNANDEZ (OWNER) |
Mailing Address: | 4764 Eastern Valley Rd Suite 104-106 Mc Calla |
State: | AL US |
Postal Code: | 351113469 |
Phone Number: | 2054778004 |
Fax Number: | 2054778214 |
NPI Enumeration Date: | 01/31/2008 |
NPI Last Update Date: | 01/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1223P0221X |
License Number: | 4956 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AL |
Taxonomy Type: | Dental Providers |
Taxonomy Classification: | Dentist |
Taxonomy Specialization: | Pediatric Dentistry |
Taxonomy 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. |