Genesis Dental Group Opelika PC
Dentist, General Practice in Opelika, AL. Organization (NPI-2).
NPI number1306382767
StatusActive
Last updated in NPPESJan 10, 2017
Details
- NPI
- 1306382767
- Entity type
- Organization (NPI-2)
- Legal business name
- Genesis Dental Group Opelika PC
- Organization subpart
- No
- Enumeration date
- Jan 10, 2017
- Last updated
- Jan 10, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
1995 Pepperell PkwySuite1
Opelika, AL 36801-5460
Phone 334-281-2451 · Fax 334-281-1087
Mailing address
3150 Zelda CtMontgomery, AL 36106-2607
Phone 334-281-2451 · Fax 334-281-1087
Authorized official
Forrest E Waters
Owner/Treasurer
3342812451
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All 27 General Practice Dentistry providers in Opelika · All 1,100 providers in Opelika
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