| Chickasaw Family Dental | |
|
457 N Craft Hwy Chickasaw AL 36611-1364 | |
| (251) 456-8406 | |
| Not Available |
| Full Name | Chickasaw Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 457 N Craft Hwy, Chickasaw, Alabama |
| Authorized Official Name and Position | Lanthea Mangum (COO) |
| Authorized Official Contact | 6012718710 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chickasaw Family Dental 457 N Craft Hwy Chickasaw AL 36611-1364 Ph: (251) 456-8406 | Chickasaw Family Dental 457 N Craft Hwy Chickasaw AL 36611-1364 Ph: (251) 456-8406 |
| NPI Number | 1316530736 |
|---|---|
| Provider Enumeration Date | 02/17/2021 |
| Last Update Date | 10/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316530736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Azalea City Dental, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 457 N Craft Hwy, Chickasaw, AL 36611 Phone: 251-456-8406 Fax: 251-456-8108 | |
Secd Chickasaw Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 457 N Craft Hwy, Chickasaw, AL 36611 Phone: 251-456-8406 |