| Cranfill Dental Of Al Llc | |
|
150 S Perry St Montgomery AL 36104-4227 | |
| (502) 244-2441 | |
| (502) 254-4069 |
| Full Name | Cranfill Dental Of Al Llc |
|---|---|
| Speciality | Dentist |
| Location | 150 S Perry St, Montgomery, Alabama |
| Authorized Official Name and Position | Joy L Payne (CREDENTIALING MANAGER) |
| Authorized Official Contact | 5022442441 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cranfill Dental Of Al Llc 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 244-2441 | Cranfill Dental Of Al Llc 150 S Perry St Montgomery AL 36104-4227 Ph: (502) 244-2441 |
| NPI Number | 1891201430 |
|---|---|
| Provider Enumeration Date | 12/19/2017 |
| Last Update Date | 02/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891201430 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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