| Fort Mitchell Dentistry | |
|
1095 Highway 165 Suite D Fort Mitchell AL 36856 | |
| (334) 855-3300 | |
| Not Available |
| Full Name | Fort Mitchell Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1095 Highway 165, Fort Mitchell, Alabama |
| Authorized Official Name and Position | Reuben Tafadzwa Moyana (PRESIDENT) |
| Authorized Official Contact | 3348553300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fort Mitchell Dentistry 129 Lee Road 2200 Smiths Station AL 36877-3388 Ph: (334) 855-3300 | Fort Mitchell Dentistry 1095 Highway 165 Suite D Fort Mitchell AL 36856 Ph: (334) 855-3300 |
| NPI Number | 1235682535 |
|---|---|
| Provider Enumeration Date | 08/03/2016 |
| Last Update Date | 08/03/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235682535 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5344 (Alabama) | Primary |