Complete Dental North Madison LLC

NPI #1447619689 in Madison, Alabama

Provider Information

NPI Number: 1447619689
Entity Type: Organization
Organization Name: Complete Dental North Madison LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 16, 2016
Last Updated: Feb 16, 2016

Practice Location

Address: 120 W DUBLIN DR
Address 2: SUITE. 202
City: Madison
State: Alabama
ZIP Code: 35758-3155
Phone: (256) 258-3883

Authorized Official

Name: MRS. TERESA J HAAKE
Title: BILLING COORDINATOR
Phone: (256) 258-3883

Specialties & Taxonomy Codes

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

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