| James Todd Chastain, Dmd, Llc | |
|
150 J C Mauldin Hwy Killen AL 35645-9106 | |
| (256) 757-4143 | |
| (256) 757-4074 |
| Full Name | James Todd Chastain, Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 150 J C Mauldin Hwy, Killen, Alabama |
| Authorized Official Name and Position | James Todd Chastain (DENTIST/OWNER) |
| Authorized Official Contact | 2567574143 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Todd Chastain, Dmd, Llc Po Box 580 Killen AL 35645-0580 Ph: (256) 757-4143 | James Todd Chastain, Dmd, Llc 150 J C Mauldin Hwy Killen AL 35645-9106 Ph: (256) 757-4143 |
| NPI Number | 1205394319 |
|---|---|
| Provider Enumeration Date | 03/07/2019 |
| Last Update Date | 03/07/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205394319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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