Dental Associates of Madison, LLC

NPI #1952543779 in Madison, Alabama

Provider Information

NPI Number: 1952543779
Entity Type: Organization
Organization Name: Dental Associates of Madison, LLC
Primary Specialty: Dentist
Enumeration Date: Mar 25, 2009
Last Updated: Mar 25, 2009

Practice Location

Address: 4072 SULLIVAN ST
Address 2: SUITE A
City: Madison
State: Alabama
ZIP Code: 35758-3152
Phone: (256) 772-9988

Authorized Official

Name: MRS. TERRI WRENN
Title: ADMINISTRATIVE ASSISTANT
Phone: (256) 772-9988

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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