Shelton Beach Dental Center INC

NPI #1205250727 in Saraland, Alabama

Provider Information

NPI Number: 1205250727
Entity Type: Organization
Organization Name: Shelton Beach Dental Center INC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 5, 2014
Last Updated: Feb 5, 2014

Practice Location

Address: 623 HIGHWAY 43 S
Address 2: SUITE A
City: Saraland
State: Alabama
ZIP Code: 36571-3633
Phone: (251) 675-7630

Authorized Official

Name: DR. WILLIAM R BRUNER, D.M.D
Title: DENTIST
Phone: (251) 675-6730

Specialties & Taxonomy Codes

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

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