Provider Demographics
NPI:1447418389
Name:ARDOVINO, ANN MARIE (DMD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:MARIE
Last Name:ARDOVINO
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 COLONIAL PROMENADE PKWY
Mailing Address - Street 2:SUITE 400
Mailing Address - City:ALABASTER
Mailing Address - State:AL
Mailing Address - Zip Code:35007-3205
Mailing Address - Country:US
Mailing Address - Phone:205-664-7610
Mailing Address - Fax:
Practice Address - Street 1:100 COLONIAL PROMENADE PKWY
Practice Address - Street 2:SUITE 400
Practice Address - City:ALABASTER
Practice Address - State:AL
Practice Address - Zip Code:35007-3205
Practice Address - Country:US
Practice Address - Phone:205-664-7610
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-28
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL56301223D0001X, 122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223D0001XDental ProvidersDentistDental Public Health