Coosa County Family Dentistry P.c. | |
Rr 2 Box 44 Rockford AL 35136-9507 | |
(256) 377-4647 | |
(256) 377-1430 |
Full Name | Coosa County Family Dentistry P.c. |
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Speciality | Dentist |
Location | Rr 2 Box 44, Rockford, Alabama |
Authorized Official Name and Position | Dwayne Albritton (OWNER) |
Authorized Official Contact | 2058799761 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coosa County Family Dentistry P.c. Po Box 660845 Birmingham AL 35266 Ph: (205) 879-9761 | Coosa County Family Dentistry P.c. Rr 2 Box 44 Rockford AL 35136-9507 Ph: (256) 377-4647 |
NPI Number | 1023130234 |
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Provider Enumeration Date | 04/06/2007 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023130234 | NPI | - | NPPES |
529922440 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4348 (Alabama) | Primary |