| Northeast Alabama Dental, Pc | |
|
106 Legacy Park Way Springville AL 35146 | |
| (256) 328-6998 | |
| Not Available |
| Full Name | Northeast Alabama Dental, Pc |
|---|---|
| Speciality | Dentist |
| Location | 106 Legacy Park Way, Springville, Alabama |
| Authorized Official Name and Position | Brant Haynie (OWNER) |
| Authorized Official Contact | 2563286998 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Alabama Dental, Pc 106 Legacy Park Way Springville AL 35146 Ph: () - | Northeast Alabama Dental, Pc 106 Legacy Park Way Springville AL 35146 Ph: (256) 328-6998 |
| NPI Number | 1548664055 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 10/13/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548664055 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
Springville Family Dental Center Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 420 Walker Dr, Springville, AL 35146 Phone: 205-467-6147 Fax: 205-467-2933 |