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17609 State Highway 160 Cleveland AL 35049-4018 | |
(205) 625-3357 | |
(205) 625-3287 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 17609 State Highway 160, Cleveland, Alabama |
Authorized Official Name and Position | Brenda Turner (ADMISTRATOR) |
Authorized Official Contact | 2567393337 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 910 Cullman AL 35056-0910 Ph: (256) 739-3337 | 17609 State Highway 160 Cleveland AL 35049-4018 Ph: (205) 625-3357 |
NPI Number | 1336455815 |
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Provider Enumeration Date | 08/23/2010 |
Last Update Date | 08/23/2010 |
Identifier | Type | State | Issuer |
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1336455815 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4937 (Alabama) | Primary |