Madison Dental Associates LLC

NPI #1689954356 in Madison, Alabama

Provider Information

NPI Number: 1689954356
Entity Type: Organization
Organization Name: Madison Dental Associates LLC
Primary Specialty: Dentist
Enumeration Date: Aug 25, 2011
Last Updated: Aug 25, 2011

Practice Location

Address: 115 RAINBOW DR
City: Madison
State: Alabama
ZIP Code: 35758-8224
Phone: (256) 837-3274

Authorized Official

Name: DR. BENJAMIN FRANKLIN SHEFTALL, DDS
Title: OWNER
Phone: (843) 991-0344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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