Samuelson Orthodontics | |
5564 Grove Blvd Ste A Hoover AL 35226-4601 | |
(205) 988-9678 | |
(205) 988-9065 |
Full Name | Samuelson Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 5564 Grove Blvd Ste A, Hoover, Alabama |
Authorized Official Name and Position | Benjamin Earl Samuelson (ORTHODONTIST/PARTNER) |
Authorized Official Contact | 2059100143 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Samuelson Orthodontics 5564 Grove Blvd Ste A Hoover AL 35226-4601 Ph: (205) 988-9678 | Samuelson Orthodontics 5564 Grove Blvd Ste A Hoover AL 35226-4601 Ph: (205) 988-9678 |
NPI Number | 1942855176 |
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Provider Enumeration Date | 08/05/2019 |
Last Update Date | 09/12/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942855176 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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