Patriot Dental Snead LLC

NPI #1083445571 in Snead, Alabama

Provider Information

NPI Number: 1083445571
Entity Type: Organization
Organization Name: Patriot Dental Snead LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 8, 2024
Last Updated: Aug 8, 2024

Practice Location

Address: 88223 US HIGHWAY 278
City: Snead
State: Alabama
ZIP Code: 35952-9643
Phone: (205) 466-7188

Authorized Official

Name: DR. KENNETH LUCKIE VANDERVOORT JR., DMD
Title: OWNER
Phone: (205) 466-7188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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