| Genesis Dental Group Liberty Park | |
|
8000 Liberty Pkwy Ste 126 Vestavia AL 35242-7565 | |
| (205) 879-6880 | |
| Not Available |
| Full Name | Genesis Dental Group Liberty Park |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8000 Liberty Pkwy Ste 126, Vestavia, Alabama |
| Authorized Official Name and Position | Pat Holt (ADMINISTRATOR) |
| Authorized Official Contact | 3346762320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Dental Group Liberty Park 3150 Zelda Ct Montgomery AL 36106-2607 Ph: (334) 676-2320 | Genesis Dental Group Liberty Park 8000 Liberty Pkwy Ste 126 Vestavia AL 35242-7565 Ph: (205) 879-6880 |
| NPI Number | 1255860045 |
|---|---|
| Provider Enumeration Date | 06/06/2017 |
| Last Update Date | 06/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255860045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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