| Hartzog Dental, P.c. | |
|
654 Valley Cub Dr Alexandria AL 36250-4200 | |
| (256) 847-1111 | |
| Not Available |
| Full Name | Hartzog Dental, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 654 Valley Cub Dr, Alexandria, Alabama |
| Authorized Official Name and Position | John Marshall Hartzog (OWNER/PRESIDENT) |
| Authorized Official Contact | 3343324764 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hartzog Dental, P.c. 654 Valley Cub Dr Alexandria AL 36250-4200 Ph: (256) 847-1111 | Hartzog Dental, P.c. 654 Valley Cub Dr Alexandria AL 36250-4200 Ph: (256) 847-1111 |
| NPI Number | 1194590919 |
|---|---|
| Provider Enumeration Date | 11/21/2023 |
| Last Update Date | 11/21/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194590919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Alexandra Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 654 Valley Cub Dr, Alexandria, AL 36250 Phone: 256-847-1111 |