| Azalea City Dental, Llc | |
|
457 N Craft Hwy Chickasaw AL 36611-1364 | |
| (251) 456-8406 | |
| (251) 456-8108 |
| Full Name | Azalea City Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 457 N Craft Hwy, Chickasaw, Alabama |
| Authorized Official Name and Position | Cindy Black (OFFICE MANAGER) |
| Authorized Official Contact | 2514568406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Azalea City Dental, Llc 457 N Craft Hwy Chickasaw AL 36611-1364 Ph: (251) 456-8406 | Azalea City Dental, Llc 457 N Craft Hwy Chickasaw AL 36611-1364 Ph: (251) 456-8406 |
| NPI Number | 1053571364 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053571364 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Chickasaw Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 457 N Craft Hwy, Chickasaw, AL 36611 Phone: 251-456-8406 | |
Secd Chickasaw Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 457 N Craft Hwy, Chickasaw, AL 36611 Phone: 251-456-8406 |