Wiregrass Dental Center LLC
NPI #1265956825 in Enterprise, Alabama
Provider Information
- NPI Number
- 1265956825
- Entity Type
- Organization
- Organization Name
- Wiregrass Dental Center LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jul 26, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 2 E POINTE CT
- City
- Enterprise
- State
- Alabama
- ZIP Code
- 36330-1392
- Phone
- (334) 347-3061
Authorized Official
- Name
- DR. JESSICA NIX UNTERKOFLER, DMD
- Title
- OWNER
- Phone
- (334) 347-3061
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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