Harvest Family Dentistry
Dentist, General Practice in Harvest, AL. Organization (NPI-2).
NPI number1306117486
StatusActive
Last updated in NPPESJan 20, 2012
Details
- NPI
- 1306117486
- Entity type
- Organization (NPI-2)
- Legal business name
- Harvest Family Dentistry
- Organization subpart
- No
- Enumeration date
- Jan 20, 2012
- Last updated
- Jan 20, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5711 | AL | Yes |
Practice location
5850 Highway 53Suite Y
Harvest, AL 35749-4301
Phone 256-852-1100
Mailing address
5850 Highway 53Suite Y
Harvest, AL 35749-4301
Phone 256-852-1100
Authorized official
Andrew Williamson
Owner
2564669608
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