Organization · NPI-2

Central Alabama Dental, PLLC

Dentist, General Practice · Prattville, AL

NPI number1548040538
StatusActive
Last updated in NPPESOct 5, 2023

Details

NPI
1548040538
Entity type
Organization (NPI-2)
Legal business name
Central Alabama Dental, PLLC
Organization subpart
No
Enumeration date
Oct 5, 2023
Certification date
Oct 5, 2023
Last updated
Oct 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

2481 Pinnacle Way
Prattville, AL 36066-6543

Phone 334-259-5317

Mailing address

10445 Nw 50th Pl
Coral Springs, FL 33076-1737

Phone 954-675-3088

Authorized official

John Biancalana
Owner Dr
3342595317

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