DR. Ann Louise Bagley, DMD

NPI #1841248895 in Fort Rucker, Alabama

Provider Information

NPI Number: 1841248895
Entity Type: Individual
Name: DR. Ann Louise Bagley, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 4, 2006
Last Updated: Jun 22, 2016

Practice Location

Address: BLDG 4405 INNKEEPER STREET
City: Fort Rucker
State: Alabama
ZIP Code: 36362
Phone: (334) 255-1155

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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