Patriot Dental Snead Llc | |
88223 Us Highway 278 Snead AL 35952-9643 | |
(205) 466-7188 | |
(205) 466-8188 |
Full Name | Patriot Dental Snead Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 88223 Us Highway 278, Snead, Alabama |
Authorized Official Name and Position | Kenneth Luckie Vandervoort (OWNER) |
Authorized Official Contact | 2054667188 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Patriot Dental Snead Llc Po Box 627 Snead AL 35952-0627 Ph: (205) 466-7188 | Patriot Dental Snead Llc 88223 Us Highway 278 Snead AL 35952-9643 Ph: (205) 466-7188 |
NPI Number | 1083445571 |
---|---|
Provider Enumeration Date | 08/08/2024 |
Last Update Date | 08/08/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083445571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |