| Mx6, Llc | |
|
621 Helen Keller Blvd Ste 100 Tuscaloosa AL 35404-2962 | |
| (205) 633-1900 | |
| (205) 633-1154 |
| Full Name | Mx6, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 621 Helen Keller Blvd Ste 100, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Matthew Ryan Mccracken (OWNER/DENTIST) |
| Authorized Official Contact | 2056331900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mx6, Llc 621 Helen Keller Blvd Ste 100 Tuscaloosa AL 35404-2962 Ph: (205) 633-1900 | Mx6, Llc 621 Helen Keller Blvd Ste 100 Tuscaloosa AL 35404-2962 Ph: (205) 633-1900 |
| NPI Number | 1396327177 |
|---|---|
| Provider Enumeration Date | 04/22/2021 |
| Last Update Date | 04/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396327177 | NPI | - | NPPES |
| 5196 | Other | AL | DENTAL LICENSE |
| 5230 | Other | AL | DENTAL LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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