| Jvm Dental Dba Northbank Family Dental | |
|
1490 N Bank Pkwy Ste 130 Tuscaloosa AL 35406-2431 | |
| (256) 710-5271 | |
| Not Available |
| Full Name | Jvm Dental Dba Northbank Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1490 N Bank Pkwy Ste 130, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Joshua A Mcclanahan (PART-OWNER DENTIST) |
| Authorized Official Contact | 2567105271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jvm Dental Dba Northbank Family Dental 603 Whispering Pines Ln Helena AL 35080-7528 Ph: (256) 710-5271 | Jvm Dental Dba Northbank Family Dental 1490 N Bank Pkwy Ste 130 Tuscaloosa AL 35406-2431 Ph: (256) 710-5271 |
| NPI Number | 1427624568 |
|---|---|
| Provider Enumeration Date | 05/30/2021 |
| Last Update Date | 06/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427624568 | NPI | - | NPPES |
| 1477916435 | Medicaid | AL | |
| 1841793601 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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