| Enterprise Dental Associates | |
|
1205 N Boll Weevil Circle Enterprise AL 36330 | |
| (334) 347-9564 | |
| (334) 347-6511 |
| Full Name | Enterprise Dental Associates |
|---|---|
| Speciality | Dentist |
| Location | 1205 N Boll Weevil Circle, Enterprise, Alabama |
| Authorized Official Name and Position | Larry Tyrone Howell (OWNER) |
| Authorized Official Contact | 3343479564 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Enterprise Dental Associates 1205 N Boll Weevil Circle Enterprise AL 36330 Ph: (334) 347-9564 | Enterprise Dental Associates 1205 N Boll Weevil Circle Enterprise AL 36330 Ph: (334) 347-9564 |
| NPI Number | 1841231172 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841231172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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