| Enhance Dental Llc | |
|
389 Huntley Pkwy Pelham AL 35124-6164 | |
| (205) 664-5099 | |
| (205) 664-5097 |
| Full Name | Enhance Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 389 Huntley Pkwy, Pelham, Alabama |
| Authorized Official Name and Position | Kimonnie Shannon (DENTIST) |
| Authorized Official Contact | 2056645099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enhance Dental Llc 389 Huntley Pkwy Pelham AL 35124-6164 Ph: (205) 664-5099 | Enhance Dental Llc 389 Huntley Pkwy Pelham AL 35124-6164 Ph: (205) 664-5099 |
| NPI Number | 1154561496 |
|---|---|
| Provider Enumeration Date | 02/26/2009 |
| Last Update Date | 02/26/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154561496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5483 (Alabama) | Primary |
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