Madison Dental Center L.l.c.

NPI #1306931878 in Madison, Alabama

Provider Information

NPI Number: 1306931878
Entity Type: Organization
Organization Name: Madison Dental Center L.l.c.
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 8097 MADISON BLVD
Address 2: STE.107
City: Madison
State: Alabama
ZIP Code: 35758
Phone: (256) 774-7228

Authorized Official

Name: JASON SELMAN
Title: OWNER
Phone: (256) 774-7228

Specialties & Taxonomy Codes

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

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