Autauga Dental Care, LLC
Dentist, General Practice in Prattville, AL. Organization (NPI-2).
NPI number1629993647
StatusActive
Last updated in NPPESAug 10, 2026
Details
- NPI
- 1629993647
- Entity type
- Organization (NPI-2)
- Legal business name
- Autauga Dental Care, LLC
- Organization subpart
- No
- Enumeration date
- Aug 10, 2026
- Certification date
- Aug 10, 2026
- Last updated
- Aug 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
711 Kornegay DrPrattville, AL 36066-7715
Phone 334-285-7111
Mailing address
711 Kornegay DrPrattville, AL 36066-7715
Phone 334-285-7111
Authorized official
Chad Hendricks
Credentialing
6128590444
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