| Aultman Dental | |
|
2043 Martin St S Pell City AL 35128-2329 | |
| (205) 812-2005 | |
| (205) 812-2007 |
| Full Name | Aultman Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2043 Martin St S, Pell City, Alabama |
| Authorized Official Name and Position | James Alan Aultman (DENTIST/OWNER) |
| Authorized Official Contact | 2058122005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aultman Dental 2043 Martin St S Pell City AL 35128-2329 Ph: (205) 812-2005 | Aultman Dental 2043 Martin St S Pell City AL 35128-2329 Ph: (205) 812-2005 |
| NPI Number | 1982002150 |
|---|---|
| Provider Enumeration Date | 12/19/2014 |
| Last Update Date | 12/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982002150 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6085 (Alabama) | Primary |
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