| Bailey Cove Family Dentistry | |
|
10300 Bailey Cove Rd Se Ste 4 Huntsville AL 35803-2635 | |
| (256) 650-0724 | |
| (256) 650-0872 |
| Full Name | Bailey Cove Family Dentistry |
|---|---|
| Speciality | Durable Medical Equipment & Medical Supplies |
| Location | 10300 Bailey Cove Rd Se, Huntsville, Alabama |
| Authorized Official Name and Position | Clifton Frazier (PRESIDENT) |
| Authorized Official Contact | 2566500724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bailey Cove Family Dentistry 10300 Bailey Cove Rd Se Ste 4 Huntsville AL 35803-2635 Ph: (256) 650-0724 | Bailey Cove Family Dentistry 10300 Bailey Cove Rd Se Ste 4 Huntsville AL 35803-2635 Ph: (256) 650-0724 |
| NPI Number | 1982907473 |
|---|---|
| Provider Enumeration Date | 12/06/2010 |
| Last Update Date | 07/10/2019 |
| Medicare PECOS PAC ID | 7810282928 |
|---|---|
| Medicare Enrollment ID | O20160827000316 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982907473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Primary |
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