ADVANCE DENTAL, P.C. (NPI# 1053669648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053669648 |
| Entity Type | Organization |
| Organization Name | ADVANCE DENTAL, P.C. |
| Practice Address |
242 West Valley Avenue Suite 101 Birmingham AL 35209-3635 |
| Practice Telephone | 2052907878 |
| Practice Fax Number | 2052907880 |
| Mailing Telephone | 2052907878 |
| Mailing Fax Number | 2052907880 |
| Enumeration Date | 2012-08-29 |
| Last Update Date | 2012-08-29 |
| Authorized Official Name | DR. MARC CHRISTOPHER VANCE (OWNER) |
| Authorized Official Telephone | 2057577509 |
| Authorized Official Credential | D.M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
5830-C1 | AL | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Alabama Business Registrations | AdVance Dental, P.C. | 242 West Valley Avenue Ste 101 & 102, Birmingham, AL 35209 |
| Massachusetts Corporations | ADVANCE DENTAL, PC | 1795 Main St., Ste 206, Springfield, MA 01103 |
| Street Address |
242 WEST VALLEY AVENUE SUITE 101 |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-3635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952934226 | Red Mountain Pediatric Dentistry | Clinic/Center | 2836 Lakeshore Pkwy, Birmingham, AL 35211-5500 | 2020-02-14 |
| 1467085837 | Brooke Jordan Dds LLC | Clinic/Center | 101 Missionary Rdg Ste 101, Birmingham, AL 35242-5203 | 2020-02-13 |
| 1790275840 | Magic City Dentistry, PC | Clinic/Center | 2117 1st Ave N, Birmingham, AL 35203-4201 | 2018-05-15 |
| 1679075600 | Iron City Dentistry P.C. | Clinic/Center | 220 Walker Rd, Birmingham, AL 35214-3138 | 2018-03-06 |
| 1265946321 | Ronald Alyn Macbeth Dmd, LLC | Clinic/Center | 1045 Broadway Park, Suite 101, Birmingham, AL 35209-3520 | 2017-11-28 |
| 1942710983 | Southern Dental Sleep Specialists LLC | Clinic/Center | 4960 Valleydale Rd Ste 100, Birmingham, AL 35242 | 2017-10-04 |
| 1346769114 | Dr. Clark Thomas, PC | Clinic/Center | 721 Montclair Rd, Birmingham, AL 35213-1905 | 2017-09-13 |
| 1477894442 | Legacy Dental Group, PC | Clinic/Center | 950 S Old Woodward Ave Ste 200, Birmingham, MI 48009-6719 | 2013-03-15 |
| 1316296783 | Morgan Dentistry | Clinic/Center | 2512 D Rocky Ridge Road, Birmingham, AL 35243-2433 | 2012-08-31 |
| 1255650115 | Caldwell Crossings Dentistry | Clinic/Center | 4516 Valleydale Road, Birmingham, AL 35242 | 2010-05-18 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.