| Pelham Dental, L.l.c. | |
|
2685 Pelham Pkwy Suite B Pelham AL 35124-1354 | |
| (205) 216-0522 | |
| (205) 216-0520 |
| Full Name | Pelham Dental, L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2685 Pelham Pkwy, Pelham, Alabama |
| Authorized Official Name and Position | Karol Poczatek (DENTIST) |
| Authorized Official Contact | 2052160522 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelham Dental, L.l.c. 2685 Pelham Pkwy Suite B Pelham AL 35124-1354 Ph: (205) 216-0522 | Pelham Dental, L.l.c. 2685 Pelham Pkwy Suite B Pelham AL 35124-1354 Ph: (205) 216-0522 |
| NPI Number | 1821302563 |
|---|---|
| Provider Enumeration Date | 08/05/2010 |
| Last Update Date | 12/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821302563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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