| Cardinal Dental Llc | |
|
442 Glover Ave Enterprise AL 36330 | |
| (334) 347-6456 | |
| (334) 393-3817 |
| Full Name | Cardinal Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 442 Glover Ave, Enterprise, Alabama |
| Authorized Official Name and Position | Roger Worthington (OWNER) |
| Authorized Official Contact | 3343476456 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Dental Llc P.o. Box 311870 Enterprise AL 36331 Ph: (334) 347-6456 | Cardinal Dental Llc 442 Glover Ave Enterprise AL 36330 Ph: (334) 347-6456 |
| NPI Number | 1609993591 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609993591 | NPI | - | NPPES |
| 1839862 | Other | AL | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5323 (Alabama) | Primary |
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