Stock Dental Pllc

NPI #1811672645 in Madison, Alabama

Provider Information

NPI Number: 1811672645
Entity Type: Organization
Organization Name: Stock Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 20, 2023
Last Updated: Sep 14, 2023

Practice Location

Address: 7564 HIGHWAY 72 W STE C
City: Madison
State: Alabama
ZIP Code: 35758-9437
Phone: (256) 690-5099

Authorized Official

Name: MICHELLE JACOMINO-BARNES
Title: DIRECTOR CREDENTIALING & ENROLLMENT
Phone: (813) 270-9497

Specialties & Taxonomy Codes

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

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