Organization · NPI-2

Adaira Collins DDS, LLC

Dentist, General Practice · Madison, AL

NPI number1336407022
StatusActive
Last updated in NPPESMay 1, 2012

Details

NPI
1336407022
Entity type
Organization (NPI-2)
Legal business name
Adaira Collins DDS, LLC
Organization subpart
No
Enumeration date
May 1, 2012
Last updated
May 1, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice5652ALYes

Other names

  • Dental Elements (Doing Business As)

Practice location

8141 Highway 72 W
Ste G
Madison, AL 35758-9569

Phone 256-263-4383 · Fax 800-340-9450

Mailing address

8141 Highway 72 W
Ste G
Madison, AL 35758-9569

Phone 256-263-4383 · Fax 800-340-9450

Authorized official

Adaira J Collins
Owner
2566843382

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