| Premiere Dental Spa | |
|
5045 Memorial Pkwy Nw Huntsville AL 35810-1077 | |
| (601) 880-6424 | |
| Not Available |
| Full Name | Premiere Dental Spa |
|---|---|
| Speciality | Dentist |
| Location | 5045 Memorial Pkwy Nw, Huntsville, Alabama |
| Authorized Official Name and Position | Teneshia E Daniels (DENTIST) |
| Authorized Official Contact | 2564696428 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premiere Dental Spa 5045 Memorial Pkwy Nw Huntsville AL 35810-1077 Ph: (601) 880-6424 | Premiere Dental Spa 5045 Memorial Pkwy Nw Huntsville AL 35810-1077 Ph: (601) 880-6424 |
| NPI Number | 1598003865 |
|---|---|
| Provider Enumeration Date | 01/22/2013 |
| Last Update Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598003865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AL5820 (Alabama) | Primary |
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