| Dothan Smiles Youth Dentistry, Pc | |
|
5412 Montgomery Hwy Suite 8 Dothan AL 36303-1657 | |
| (334) 983-1730 | |
| (334) 983-1725 |
| Full Name | Dothan Smiles Youth Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5412 Montgomery Hwy, Dothan, Alabama |
| Authorized Official Name and Position | Jenell Stump (MANAGER - LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dothan Smiles Youth Dentistry, Pc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Dothan Smiles Youth Dentistry, Pc 5412 Montgomery Hwy Suite 8 Dothan AL 36303-1657 Ph: (334) 983-1730 |
| NPI Number | 1548487531 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548487531 | NPI | - | NPPES |
| 529932450 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Dothan Endodontic Associates, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Healthwest Dr Ste 1, Dothan, AL 36303 Phone: 334-793-7687 | |
Metro Oral & Maxillofacial Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Metro Dr, Dothan, AL 36303 Phone: 334-699-5555 | |
University Of Alabama At Birmingham Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2826 Ross Clark Cir Ste 305, Dothan, AL 36301 Phone: 334-305-3290 Fax: 334-305-3310 | |
Galloway Dental Implants And Periodontics, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Medical Dr, Dothan, AL 36303 Phone: 334-792-7888 Fax: 334-792-8717 | |
Al Dental Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3400 Montgomery Highway, Dothan, AL 36303 Phone: 334-803-8700 | |
Hashim J. Hassan,d.m.d.,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1801 W Main St, Ste.#1, Dothan, AL 36301 Phone: 334-793-9885 Fax: 334-678-7715 | |
Family Dental Care Of Dothan, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Professional Ln, Dothan, AL 36303 Phone: 334-792-5711 Fax: 334-678-8157 |