| Midtown Dental Llc | |
|
100 Providence Main St Nw Ste C Huntsville AL 35806-4827 | |
| (256) 653-9830 | |
| Not Available |
| Full Name | Midtown Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 100 Providence Main St Nw Ste C, Huntsville, Alabama |
| Authorized Official Name and Position | David Judd Allen (PRESIDENT) |
| Authorized Official Contact | 6015946323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midtown Dental Llc 100 Providence Main St Nw Ste C Huntsville AL 35806-4827 Ph: (256) 653-9830 | Midtown Dental Llc 100 Providence Main St Nw Ste C Huntsville AL 35806-4827 Ph: (256) 653-9830 |
| NPI Number | 1952844656 |
|---|---|
| Provider Enumeration Date | 11/29/2016 |
| Last Update Date | 11/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952844656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5665 (Alabama) | Primary |
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