| Columbiana Family Dentistry, Pc | |
|
204 Mildred St Columbiana AL 35051-9330 | |
| (205) 669-6778 | |
| (205) 669-6779 |
| Full Name | Columbiana Family Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 204 Mildred St, Columbiana, Alabama |
| Authorized Official Name and Position | Timothy Doyle Nettles (DENTIST) |
| Authorized Official Contact | 2056696778 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Columbiana Family Dentistry, Pc Po Box 558 204 Mildred Street Columbiana AL 35051-0558 Ph: (205) 669-6778 | Columbiana Family Dentistry, Pc 204 Mildred St Columbiana AL 35051-9330 Ph: (205) 669-6778 |
| NPI Number | 1942461587 |
|---|---|
| Provider Enumeration Date | 06/17/2008 |
| Last Update Date | 06/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942461587 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5248 (Alabama) | Primary |
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