North Alabama Oral And Facial Surgery Llc | |
44 Hughes Rd Madison AL 35758-3045 | |
(256) 774-3535 | |
(256) 325-6145 |
Full Name | North Alabama Oral And Facial Surgery Llc |
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Speciality | Dentist |
Location | 44 Hughes Rd, Madison, Alabama |
Authorized Official Name and Position | Jason R Miller (PHYSICIAN/OWNER) |
Authorized Official Contact | 2562654950 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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North Alabama Oral And Facial Surgery Llc 44 Hughes Rd Madison AL 35758-3045 Ph: (256) 774-3535 | North Alabama Oral And Facial Surgery Llc 44 Hughes Rd Madison AL 35758-3045 Ph: (256) 774-3535 |
NPI Number | 1700273208 |
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Provider Enumeration Date | 04/22/2015 |
Last Update Date | 04/22/2015 |
Medicare PECOS PAC ID | 7113231150 |
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Medicare Enrollment ID | O20150804004468 |
Identifier | Type | State | Issuer |
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1700273208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 25550 (Alabama) | Primary |
Provider Name | Jonathan M.c. Threadgill |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1093881021 PECOS PAC ID: 3779749361 Enrollment ID: I20160516000616 |
Precious Mcgregor-wiltz Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1041 Balch Rd, Suite 100, Madison, AL 35758 Phone: 256-434-5179 Fax: 256-467-8068 | |
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Gibson Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10871 County Line Rd, Suite A, Madison, AL 35758 Phone: 256-724-3530 Fax: 256-615-8740 | |
Eastview Family Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 870 Slaughter Rd, Madison, AL 35758 Phone: 256-325-9393 | |
West Madison Dental Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10871 County Line Rd Ste A, Madison, AL 35758 Phone: 256-724-3530 | |
Madison Pediatric Dentistry Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7559 Highway 72 W, Suite C7/c8, Madison, AL 35758 Phone: 256-527-4590 Fax: 256-890-4293 | |
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