Edwards Lake Dental is a Dental Clinic in Birmingham, Alabama. It is located at 1930 Edwards Lake Rd, Suite 134, Birmingham, AL and its contact number is 205-655-8090. The authorized person for Edwards Lake Dental is Dr. Andrew Jason Lange
who is Owner of the clinic and their contact number is 205-655-8090. The primary license number for Edwards Lake Dental is 5760 (General Practice) in Alabama. Edwards Lake Dental Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Edwards Lake Dental Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Edwards Lake Dental
Specialization:
General Practice Dentistry
Clinic Address:
1930 Edwards Lake Rd, Suite 134, Birmingham, Alabama, 35235-3718
Phone:
205-655-8090
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Andrew Jason Lange
Position:
Owner
Contact Number:
205-655-8090
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Edwards Lake Dental clinic are as mentioned below.
NPI Number:
1225384746
NPI Enumeration Date:
02 Aug, 2012
NPI Last Update On:
02 Aug, 2012
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Edwards Lake Dental are as mentioned below.
Specialization
License Number
State
Status
General Practice
5760
Alabama
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
125232
Medicaid
Alabama
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Edwards Lake Dental 1930 Edwards Lake Rd, Suite 134 Birmingham, Alabama
Zip:
35235-3718
Phone Number:
205-655-8090
Patients can reach Edwards Lake Dental at 1930 Edwards Lake Rd, Suite 134, Birmingham, Alabama or can call to book an appointment on 205-655-8090. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.