| Hassan Dentistry, P.c. | |
|
200 Grove Park Ln Suite 610 Dothan AL 36305-5911 | |
| (334) 699-7777 | |
| (334) 699-7778 |
| Full Name | Hassan Dentistry, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 200 Grove Park Ln, Dothan, Alabama |
| Authorized Official Name and Position | Mohammed H Hassan (PRESIDENT/DENTIST) |
| Authorized Official Contact | 3346997777 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hassan Dentistry, P.c. 200 Grove Park Ln Suite 610 Dothan AL 36305-5911 Ph: (334) 699-7777 | Hassan Dentistry, P.c. 200 Grove Park Ln Suite 610 Dothan AL 36305-5911 Ph: (334) 699-7777 |
| NPI Number | 1982912200 |
|---|---|
| Provider Enumeration Date | 09/21/2010 |
| Last Update Date | 09/21/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982912200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5449 (Alabama) | Primary |
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