| Dental Clinic | |
|
1115 Azalea Pl Brewton AL 36426-1318 | |
| (251) 809-3925 | |
| (251) 809-6058 |
| Full Name | Dental Clinic |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1115 Azalea Pl, Brewton, Alabama |
| Authorized Official Name and Position | Marilyn J Sawyer (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2515781163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Clinic Po Box 726 Evergreen AL 36401-0726 Ph: (251) 578-1163 | Dental Clinic 1115 Azalea Pl Brewton AL 36426-1318 Ph: (251) 809-3925 |
| NPI Number | 1093844060 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 02/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093844060 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
B. Keith Miller Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Douglas Ave, Brewton, AL 36426 Phone: 251-867-5625 | |
Brewton Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1115 Azalea Pl, Brewton, AL 36426 Phone: 251-867-8020 Fax: 251-867-8079 | |
James R. Deatherage D.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 Douglas Ave, Brewton, AL 36426 Phone: 251-867-6837 Fax: 251-867-6278 | |
Brewton Dental Care Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Douglas Ave, Brewton, AL 36426 Phone: 251-867-5625 Fax: 251-867-5648 | |
Michael A. Dasinger Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 422 Douglas Ave, Brewton, AL 36426 Phone: 251-867-6837 Fax: 251-867-6278 |