| Pjp Dental Llc | |
|
311 8th Ave Sw Childersburg AL 35044-1625 | |
| (256) 378-5442 | |
| (256) 378-5427 |
| Full Name | Pjp Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 311 8th Ave Sw, Childersburg, Alabama |
| Authorized Official Name and Position | Prabhavathi J Prattipati (DENTIST) |
| Authorized Official Contact | 2563785442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pjp Dental Llc 311 8th Ave Sw Childersburg AL 35044-1625 Ph: (256) 378-5442 | Pjp Dental Llc 311 8th Ave Sw Childersburg AL 35044-1625 Ph: (256) 378-5442 |
| NPI Number | 1306223433 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 04/08/2021 |
| Medicare PECOS PAC ID | 0547526808 |
|---|---|
| Medicare Enrollment ID | O20191101000628 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306223433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5895 (Alabama) | Primary |
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