Jasper Pediatric Dentistry, Llc is a Pediatric Dental Clinic in Jasper, Alabama. It is located at 4330 Highway 78 E, Suite 121, Jasper, AL and its contact number is 205-384-9104. The authorized person for Jasper Pediatric Dentistry, Llc is Dr. Katrina Carol White
who is Owner of the clinic and their contact number is 205-384-9104. The primary license number for Jasper Pediatric Dentistry, Llc is 4967 (Pediatric Dentistry) in Alabama. Jasper Pediatric Dentistry, Llc Clinic provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Complete Clinic Profile:
Jasper Pediatric Dentistry, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Jasper Pediatric Dentistry, Llc
Specialization:
Pediatric Dentistry
Clinic Address:
4330 Highway 78 E, Suite 121, Jasper, Alabama, 35501-8905
Phone:
205-384-9104
Fax:
205-384-9102
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. Katrina Carol White
Position:
Owner
Contact Number:
205-384-9104
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 Jasper Pediatric Dentistry, Llc clinic are as mentioned below.
NPI Number:
1649303355
NPI Enumeration Date:
13 Mar, 2007
NPI Last Update On:
22 Aug, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jasper Pediatric Dentistry, Llc are as mentioned below.
Specialization
License Number
State
Status
Pediatric Dentistry
4967
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
51506630
Other
Alabama
Blue Cross
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Jasper Pediatric Dentistry, Llc 4330 Highway 78 E, Suite 121 Jasper, Alabama
Zip:
35501-8905
Phone Number:
205-384-9104
Fax Number:
205-384-9102
Patients can reach Jasper Pediatric Dentistry, Llc at 4330 Highway 78 E, Suite 121, Jasper, Alabama or can call to book an appointment on 205-384-9104. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.