| Custom Dentures P.c. | |
|
4817 Mcadory School Road Suite 105 Mccalla AL 35111-3452 | |
| (205) 428-0007 | |
| (205) 428-0085 |
| Full Name | Custom Dentures P.c. |
|---|---|
| Speciality | Dentist |
| Location | 4817 Mcadory School Road, Mccalla, Alabama |
| Authorized Official Name and Position | Carol D Hamilton (OFFICE MANAGER) |
| Authorized Official Contact | 2054280007 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Custom Dentures P.c. 4817 Mcadory School Rd Suite 105 Mc Calla AL 35111-3452 Ph: (205) 428-0007 | Custom Dentures P.c. 4817 Mcadory School Road Suite 105 Mccalla AL 35111-3452 Ph: (205) 428-0007 |
| NPI Number | 1386916682 |
|---|---|
| Provider Enumeration Date | 02/01/2012 |
| Last Update Date | 02/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386916682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5554 (Alabama) | Primary |
The Medley Corporation Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7067 Summerdale Drive, Mccalla, AL 35111 Phone: 205-434-8246 |