Midsouth Dental Pllc
NPI #1891555140 in Montgomery, Alabama
Provider Information
- NPI Number
- 1891555140
- Entity Type
- Organization
- Organization Name
- Midsouth Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 21, 2024
- Last Updated
- Jun 5, 2024
Practice Location
- Address
- 6941 EASTCHASE LOOP
- City
- Montgomery
- State
- Alabama
- ZIP Code
- 36117-6876
- Phone
- (334) 530-5000
Authorized Official
- Name
- VALERIE HAMILTON
- Title
- DIRECTOR OF CONTRACTING
- Phone
- (315) 454-6000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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