Dothan Smiles Youth Dentistry, PC

NPI #1548487531 in Dothan, Alabama

Provider Information

NPI Number: 1548487531
Entity Type: Organization
Organization Name: Dothan Smiles Youth Dentistry, PC
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 19, 2007
Last Updated: Jul 9, 2014

Practice Location

Address: 5412 MONTGOMERY HWY
Address 2: SUITE 8
City: Dothan
State: Alabama
ZIP Code: 36303-1657
Phone: (334) 983-1730

Authorized Official

Name: MRS. JENELL STUMP
Title: MANAGER - LICENSING & CREDENTIALING
Phone: (615) 750-0343

Specialties & Taxonomy Codes

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

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