| Northcutt Dental Practice | |
|
23678 Us Highway 98 Fairhope AL 36532-3336 | |
| (251) 928-8770 | |
| (251) 928-8724 |
| Full Name | Northcutt Dental Practice |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 23678 Us Highway 98, Fairhope, Alabama |
| Authorized Official Name and Position | John David Northcutt (PRESIDENT) |
| Authorized Official Contact | 2519288770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northcutt Dental Practice 23678 Us Highway 98 Fairhope AL 36532-3336 Ph: (251) 928-8770 | Northcutt Dental Practice 23678 Us Highway 98 Fairhope AL 36532-3336 Ph: (251) 928-8770 |
| NPI Number | 1295890515 |
|---|---|
| Provider Enumeration Date | 12/27/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295890515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4593 (Alabama) | Primary |
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