Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Advanced Dermatology of Alabama, Inc

Organization Dermatology Physician · NPI 1538773775

Advanced Dermatology of Alabama, Inc is a Dermatology Physician in Montgomery, Alabama. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

286 Mitylene Park Dr
Montgomery, AL 36117-3548
Phone: (407) 875-2080
Fax: (407) 650-3455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X
MOHS-Micrographic Surgery Physician Taxonomy 207ND0101X
Dermatopathology Physician Taxonomy 207ND0900X
Procedural Dermatology Physician Taxonomy 207NS0135X

Record details

NPI number1538773775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Matt Leavitt — Owner · (407) 875-2080
NPI enumeratedSeptember 4, 2020
Last updated in NPPESSeptember 4, 2020
Certification dateSeptember 4, 2020
Mailing address151 Southhall Ln Ste 300, Maitland, FL 32751-7172

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