| Piedmont Dental Group Llc | |
|
114 W Ladiga St Piedmont AL 36272-2018 | |
| (256) 447-7844 | |
| Not Available |
| Full Name | Piedmont Dental Group Llc |
|---|---|
| Speciality | Dentist |
| Location | 114 W Ladiga St, Piedmont, Alabama |
| Authorized Official Name and Position | Jeffrey Ray Eberhart (DOCTOR) |
| Authorized Official Contact | 2569272600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Dental Group Llc 114 W Ladiga St Piedmont AL 36272-2018 Ph: (256) 447-7844 | Piedmont Dental Group Llc 114 W Ladiga St Piedmont AL 36272-2018 Ph: (256) 447-7844 |
| NPI Number | 1528443546 |
|---|---|
| Provider Enumeration Date | 07/21/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528443546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5112 (Alabama) | Primary |
| 122300000X | Dentist | 5161 (Alabama) | Secondary |
| 122300000X | Dentist | 4860 (Alabama) | Secondary |
Ingram Dental Clinic P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Rome Ave, Piedmont, AL 36272 Phone: 256-447-6071 Fax: 256-447-6077 |