Pine Belt Dental LLC
NPI #1144588906 in Grove Hill, Alabama
Provider Information
- NPI Number
- 1144588906
- Entity Type
- Organization
- Organization Name
- Pine Belt Dental LLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Apr 30, 2012
- Last Updated
- Apr 30, 2012
Practice Location
- Address
- 297C S JACKSON ST
- City
- Grove Hill
- State
- Alabama
- ZIP Code
- 36451-3231
- Phone
- (251) 275-3822
Authorized Official
- Name
- DR. JIMMY C WHITE, DMD
- Title
- GENERAL PARTNER
- Phone
- (251) 275-3822
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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