South Alabama Orthodontics LLC

NPI #1740653021 in Fairhope, Alabama

Provider Information

NPI Number: 1740653021
Entity Type: Organization
Organization Name: South Alabama Orthodontics LLC
Primary Specialty: Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date: Nov 9, 2015
Last Updated: Apr 3, 2019

Practice Location

Address: 20 SPRING RUN DR
City: Fairhope
State: Alabama
ZIP Code: 36532-3800
Phone: (251) 625-2525

Authorized Official

Name: DR. SHANE LANGLEY
Title: OWNER/ORTHODONTIST
Phone: (251) 625-2525

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics	1223X0400X	Primary

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