| Midsouth Dental Pllc | |
|
6941 Eastchase Loop Montgomery AL 36117-6876 | |
| (334) 530-5000 | |
| (334) 215-1983 |
| Full Name | Midsouth Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6941 Eastchase Loop, Montgomery, Alabama |
| Authorized Official Name and Position | Valerie Hamilton (DIRECTOR OF CONTRACTING) |
| Authorized Official Contact | 3154546000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midsouth Dental Pllc Po Box 70887 Cleveland OH 44190-0887 Ph: () - | Midsouth Dental Pllc 6941 Eastchase Loop Montgomery AL 36117-6876 Ph: (334) 530-5000 |
| NPI Number | 1891555140 |
|---|---|
| Provider Enumeration Date | 03/21/2024 |
| Last Update Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891555140 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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