Alabama Oral & Maxillofacial Surgery Llc | |
4590 Woodmere Blvd Montgomery AL 36106-2918 | |
(334) 271-2002 | |
(334) 271-4523 |
Full Name | Alabama Oral & Maxillofacial Surgery Llc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 4590 Woodmere Blvd, Montgomery, Alabama |
Authorized Official Name and Position | William J Goehring (OWNER) |
Authorized Official Contact | 3342712002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alabama Oral & Maxillofacial Surgery Llc 4590 Woodmere Blvd Montgomery AL 36106-2918 Ph: (334) 271-2002 | Alabama Oral & Maxillofacial Surgery Llc 4590 Woodmere Blvd Montgomery AL 36106-2918 Ph: (334) 271-2002 |
NPI Number | 1073640785 |
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Provider Enumeration Date | 02/28/2007 |
Last Update Date | 10/20/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073640785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 2941 (Alabama) | Primary |
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Montgomery Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4790 Woodmere Blvd, Montgomery, AL 36106 Phone: 334-279-0760 Fax: 334-215-1153 | |
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