| Island Orthodontics | |
|
241 Clubhouse Dr Gulf Shores AL 36542-3415 | |
| (251) 968-1310 | |
| (251) 968-2036 |
| Full Name | Island Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 241 Clubhouse Dr, Gulf Shores, Alabama |
| Authorized Official Name and Position | Renee Allen Dyken (PRESIDENT) |
| Authorized Official Contact | 2519681310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Orthodontics 241 Clubhouse Dr Gulf Shores AL 36542-3415 Ph: (251) 968-1310 | Island Orthodontics 241 Clubhouse Dr Gulf Shores AL 36542-3415 Ph: (251) 968-1310 |
| NPI Number | 1992909600 |
|---|---|
| Provider Enumeration Date | 06/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992909600 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 4630 (Alabama) | Primary |
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