| Gulf Coast Dentistry | |
|
313 E 22nd Ave Gulf Shores AL 36542-3193 | |
| (251) 948-9313 | |
| (251) 948-8383 |
| Full Name | Gulf Coast Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 313 E 22nd Ave, Gulf Shores, Alabama |
| Authorized Official Name and Position | Charles David Stoddard (OWNER) |
| Authorized Official Contact | 2519489313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gulf Coast Dentistry 313 E 22nd Ave Gulf Shores AL 36542-3193 Ph: (251) 948-9313 | Gulf Coast Dentistry 313 E 22nd Ave Gulf Shores AL 36542-3193 Ph: (251) 948-9313 |
| NPI Number | 1497035273 |
|---|---|
| Provider Enumeration Date | 08/24/2011 |
| Last Update Date | 08/24/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497035273 | NPI | - | NPPES |
| 009924875 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3129 (Alabama) | Primary |
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