Orthodontics South, Pc | |
2705 Pelham Pkwy Ste 200 Pelham AL 35124-1704 | |
(205) 664-4140 | |
Not Available |
Full Name | Orthodontics South, Pc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 2705 Pelham Pkwy Ste 200, Pelham, Alabama |
Authorized Official Name and Position | Brandon Boggan (OWNER/PRESIDENT/ORTHODONTIST) |
Authorized Official Contact | 2056644140 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Orthodontics South, Pc 2705 Pelham Pkwy Ste 200 Pelham AL 35124-1704 Ph: (205) 664-4140 | Orthodontics South, Pc 2705 Pelham Pkwy Ste 200 Pelham AL 35124-1704 Ph: (205) 664-4140 |
NPI Number | 1871145219 |
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Provider Enumeration Date | 07/16/2019 |
Last Update Date | 07/16/2019 |
Identifier | Type | State | Issuer |
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1871145219 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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