Alabama Dental Professionals, P.c.

NPI #1851498059 in Madison, Alabama

Provider Information

NPI Number: 1851498059
Entity Type: Organization
Organization Name: Alabama Dental Professionals, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: ALABAMA DENTAL PROFESSIONALS, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 20, 2006
Last Updated: Aug 1, 2017

Practice Location

Address: 136 PLAZA BLVD
Address 2: SUITE A
City: Madison
State: Alabama
ZIP Code: 35758-1160
Phone: (256) 464-3556

Authorized Official

Name: HEATHER PRUEMER
Title: CREDENTIALING TEAM LEAD
Phone: (217) 540-8434

Specialties & Taxonomy Codes

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

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