| Capstone Dental Care | |
|
100 Rice Mine Rd N Suite D Tuscaloosa AL 35406-2300 | |
| (205) 248-9077 | |
| (205) 248-9076 |
| Full Name | Capstone Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 100 Rice Mine Rd N, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Jennifer T Dickson (DENTIST) |
| Authorized Official Contact | 2052489077 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Capstone Dental Care 100 Rice Mine Rd N Suite D Tuscaloosa AL 35406-2300 Ph: (205) 248-9077 | Capstone Dental Care 100 Rice Mine Rd N Suite D Tuscaloosa AL 35406-2300 Ph: (205) 248-9077 |
| NPI Number | 1760558167 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760558167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4990 (Alabama) | Primary |
| 1223G0001X | Dentist - General Practice | 4999 (Alabama) | Secondary |
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