| Dorsett Dental Care, Llc | |
|
4000 Pine Ln Se Bessemer AL 35022-5653 | |
| (205) 882-8060 | |
| (205) 539-1168 |
| Full Name | Dorsett Dental Care, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4000 Pine Ln Se, Bessemer, Alabama |
| Authorized Official Name and Position | Joshua Paul Dorsett (MANAGING MEMBER) |
| Authorized Official Contact | 2513661709 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dorsett Dental Care, Llc 4000 Pine Ln Se Bessemer AL 35022-5653 Ph: (205) 882-8060 | Dorsett Dental Care, Llc 4000 Pine Ln Se Bessemer AL 35022-5653 Ph: (205) 882-8060 |
| NPI Number | 1356961031 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 04/22/2020 |
| Medicare PECOS PAC ID | 1355753740 |
|---|---|
| Medicare Enrollment ID | O20201208002401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356961031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| Provider Name | Joshua P Dorsett |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1033611967 PECOS PAC ID: 0840526216 Enrollment ID: I20201208002576 |
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