| Madison Prosthodontics: Aesthetic And Reconstructive Dentistry, Llc | |
|
1041 Balch Rd Suite 180 Madison AL 35758-8343 | |
| (256) 319-3256 | |
| (256) 319-3257 |
| Full Name | Madison Prosthodontics: Aesthetic And Reconstructive Dentistry, Llc |
|---|---|
| Speciality | Dentist - Prosthodontics |
| Location | 1041 Balch Rd, Madison, Alabama |
| Authorized Official Name and Position | Cramin Peter Wiltz (SOLE MEMBER) |
| Authorized Official Contact | 2563193256 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Prosthodontics: Aesthetic And Reconstructive Dentistry, Llc 1041 Balch Rd Suite 180 Madison AL 35758-8343 Ph: (256) 319-3256 | Madison Prosthodontics: Aesthetic And Reconstructive Dentistry, Llc 1041 Balch Rd Suite 180 Madison AL 35758-8343 Ph: (256) 319-3256 |
| NPI Number | 1902297690 |
|---|---|
| Provider Enumeration Date | 02/17/2015 |
| Last Update Date | 02/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902297690 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0700X | Dentist - Prosthodontics | 5928 (Alabama) | Primary |
| 292200000X | Dental Laboratory | 233720-00 (Alabama) | Secondary |
Precious Mcgregor-wiltz Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Balch Rd, Suite 100, Madison, AL 35758 Phone: 256-434-5179 Fax: 256-467-8068 | |
W Forrest Bryant Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12205 County Line Rd, Suite A, Madison, AL 35758 Phone: 256-864-9571 Fax: 256-864-9575 | |
Gibson Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10871 County Line Rd, Suite A, Madison, AL 35758 Phone: 256-724-3530 Fax: 256-615-8740 | |
Eastview Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Slaughter Rd, Madison, AL 35758 Phone: 256-325-9393 | |
West Madison Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10871 County Line Rd Ste A, Madison, AL 35758 Phone: 256-724-3530 | |
Madison Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7559 Highway 72 W, Suite C7/c8, Madison, AL 35758 Phone: 256-527-4590 Fax: 256-890-4293 | |
Gibson Orthodontics Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 581 Hughes Rd, Madison, AL 35758 Phone: 256-772-0041 |