Organization · NPI-2

Alabama Dental Professionals, PC

Dentist, General Practice · Prattville, AL

NPI number1265805550
StatusActive
Last updated in NPPESNov 9, 2015

Details

NPI
1265805550
Entity type
Organization (NPI-2)
Legal business name
Alabama Dental Professionals, PC
Organization subpart
Yes
Enumeration date
Nov 9, 2015
Last updated
Nov 9, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Prattville Dental Care (Doing Business As)

Practice location

2489 Cobbs Ford Road
Prattville, AL 36066

Phone 334-651-8695

Mailing address

2489 Cobbs Ford Road
Prattville, AL 36066

Authorized official

Kendra Walker
Credentialing Team Lead
2175408312

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