| Montgomery Smiles Youth Dentistry, Pc | |
|
3439 Mcgehee Rd Suite B Montgomery AL 36111-3392 | |
| (334) 228-1868 | |
| (334) 288-1825 |
| Full Name | Montgomery Smiles Youth Dentistry, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3439 Mcgehee Rd, Montgomery, Alabama |
| Authorized Official Name and Position | Jenell Stump (MANAGER, LICENSING & CREDENTIALING) |
| Authorized Official Contact | 6157500343 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Montgomery Smiles Youth Dentistry, Pc 16 Arcade Unit 198747 Nashville TN 37219-1994 Ph: (615) 750-0343 | Montgomery Smiles Youth Dentistry, Pc 3439 Mcgehee Rd Suite B Montgomery AL 36111-3392 Ph: (334) 228-1868 |
| NPI Number | 1740351758 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740351758 | NPI | - | NPPES |
| 529930610 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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