| Mcdoniell Dental Group Llc | |
|
506 N Section St Fairhope AL 36532-2616 | |
| (251) 928-1645 | |
| Not Available |
| Full Name | Mcdoniell Dental Group Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 506 N Section St, Fairhope, Alabama |
| Authorized Official Name and Position | Jeremy Dylan Mcdoniell (OWNER) |
| Authorized Official Contact | 2519789598 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdoniell Dental Group Llc 506 N Section St Fairhope AL 36532-2616 Ph: (251) 928-1645 | Mcdoniell Dental Group Llc 506 N Section St Fairhope AL 36532-2616 Ph: (251) 928-1645 |
| NPI Number | 1356178206 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 09/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356178206 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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