| Brent Dental Care | |
|
2939 Main St Box 960 Brent AL 35034-4000 | |
| (205) 926-1901 | |
| Not Available |
| Full Name | Brent Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 2939 Main St, Brent, Alabama |
| Authorized Official Name and Position | Dayo Obebe (DIRECTOR) |
| Authorized Official Contact | 2059362151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brent Dental Care 2939 Main St P.o. Box 960 Brent AL 35034-4000 Ph: (205) 926-1901 | Brent Dental Care 2939 Main St Box 960 Brent AL 35034-4000 Ph: (205) 926-1901 |
| NPI Number | 1750486684 |
|---|---|
| Provider Enumeration Date | 09/14/2006 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750486684 | NPI | - | NPPES |
| 529926460 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AL 4726 (Alabama) | Primary |