| Dothan Cosmetic Dentistry, Pc | |
|
2431 W Main St Suite 401 Dothan AL 36301-1217 | |
| (334) 673-7440 | |
| (334) 673-7528 |
| Full Name | Dothan Cosmetic Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2431 W Main St, Dothan, Alabama |
| Authorized Official Name and Position | Geoffrey Mathews Gaunt (OWNER) |
| Authorized Official Contact | 3346737440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dothan Cosmetic Dentistry, Pc 2431 W Main St Suite 401 Dothan AL 36301-1217 Ph: (334) 673-7440 | Dothan Cosmetic Dentistry, Pc 2431 W Main St Suite 401 Dothan AL 36301-1217 Ph: (334) 673-7440 |
| NPI Number | 1821383035 |
|---|---|
| Provider Enumeration Date | 06/15/2011 |
| Last Update Date | 06/15/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821383035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4432 (Alabama) | Primary |
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