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General NPI Number Information
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NPI Number | 1831012285
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Entity Type | Organization
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Legal Business Name | SPRINGVILLE CHILDREN'S DENTISTRY LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 345 SPRINGVILLE STATION BOULEVARD
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City | SPRINGVILLE
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State | AL
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Zip | 35416
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Country | US
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Telephone | 334-875-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 2425 MEDICAL CENTER PKWY
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City | SELMA
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State | AL
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Zip | 36701-7756
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES OSBORN
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Credential | DMD
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Telephone | 256-565-2176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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