Provider Demographics
NPI:1023544244
Name:ALABAMA SMILE BUILDERS, P.C.
Entity Type:Organization
Organization Name:ALABAMA SMILE BUILDERS, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCIAL COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-355-1744
Mailing Address - Street 1:2020 STRATFORD CT SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-6553
Mailing Address - Country:US
Mailing Address - Phone:256-355-1744
Mailing Address - Fax:
Practice Address - Street 1:431 JOHNSTON ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-3007
Practice Address - Country:US
Practice Address - Phone:256-355-1744
Practice Address - Fax:256-351-0784
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-08
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5127122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty