East Alabama Dental Group, LLC

NPI #1891017836 in Opelika, Alabama

Provider Information

NPI Number: 1891017836
Entity Type: Organization
Organization Name: East Alabama Dental Group, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 18, 2010
Last Updated: Aug 20, 2024

Practice Location

Address: 1945 1ST AVE
City: Opelika
State: Alabama
ZIP Code: 36801-5403
Phone: (334) 749-5014

Authorized Official

Name: KEITH ALLAN THOMPSON
Title: OWNER
Phone: (334) 749-5014

Specialties & Taxonomy Codes

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

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