Autauga Station Dental, P.c. | |
1803 Station Dr Suite A Prattville AL 36066-5668 | |
(334) 361-9880 | |
(334) 361-9876 |
Full Name | Autauga Station Dental, P.c. |
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Speciality | Dentist - General Practice |
Location | 1803 Station Dr, Prattville, Alabama |
Authorized Official Name and Position | Brock C Miller (DENTIST, OWNER) |
Authorized Official Contact | 3343619880 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Autauga Station Dental, P.c. 1803 Station Dr Suite A Prattville AL 36066-5668 Ph: (334) 361-9880 | Autauga Station Dental, P.c. 1803 Station Dr Suite A Prattville AL 36066-5668 Ph: (334) 361-9880 |
NPI Number | 1235471426 |
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Provider Enumeration Date | 03/26/2013 |
Last Update Date | 03/26/2013 |
Identifier | Type | State | Issuer |
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1235471426 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4949 (Alabama) | Primary |
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