Coosa Family Dentistry | |
104 Cherry St Gadsden AL 35901-5235 | |
(256) 438-0080 | |
Not Available |
Full Name | Coosa Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 104 Cherry St, Gadsden, Alabama |
Authorized Official Name and Position | Michael Alton Crump (OWNER) |
Authorized Official Contact | 2564380080 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Coosa Family Dentistry 104 Cherry St Gadsden AL 35901-5235 Ph: (256) 438-0080 | Coosa Family Dentistry 104 Cherry St Gadsden AL 35901-5235 Ph: (256) 438-0080 |
NPI Number | 1528548955 |
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Provider Enumeration Date | 08/15/2018 |
Last Update Date | 08/15/2018 |
Identifier | Type | State | Issuer |
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1528548955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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