| Lincoln Dental Operations, Llc | |
|
141 Magnolia St S Lincoln AL 35096-6196 | |
| (205) 763-2400 | |
| (205) 763-2404 |
| Full Name | Lincoln Dental Operations, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 141 Magnolia St S, Lincoln, Alabama |
| Authorized Official Name and Position | Elaine Daniel Gissendaner (OWNER/CHIEF EXECUTIVE) |
| Authorized Official Contact | 2563626861 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lincoln Dental Operations, Llc 141 Magnolia St S Lincoln AL 35096-6196 Ph: (205) 763-2400 | Lincoln Dental Operations, Llc 141 Magnolia St S Lincoln AL 35096-6196 Ph: (205) 763-2400 |
| NPI Number | 1306089859 |
|---|---|
| Provider Enumeration Date | 04/14/2009 |
| Last Update Date | 04/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306089859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4569 (Alabama) | Primary |
Lincoln Dental Care, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 Magnolia St S, Lincoln, AL 35096 Phone: 205-763-2400 |