| Lagniappe Dental Pllc | |
|
106 Lottie Ln Fairhope AL 36532-2995 | |
| (251) 517-3313 | |
| (251) 517-3315 |
| Full Name | Lagniappe Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 106 Lottie Ln, Fairhope, Alabama |
| Authorized Official Name and Position | David Thomas Bruce (DENTIST/OWNER) |
| Authorized Official Contact | 2515173313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lagniappe Dental Pllc 106 Lottie Ln Fairhope AL 36532-2995 Ph: (251) 517-3313 | Lagniappe Dental Pllc 106 Lottie Ln Fairhope AL 36532-2995 Ph: (251) 517-3313 |
| NPI Number | 1699552497 |
|---|---|
| Provider Enumeration Date | 09/13/2023 |
| Last Update Date | 09/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699552497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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