Professional Lane Dental Association | |
102 Professional Ln Dothan AL 36303-3874 | |
(334) 792-0997 | |
(334) 702-6896 |
Full Name | Professional Lane Dental Association |
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Speciality | Dentist - General Practice |
Location | 102 Professional Ln, Dothan, Alabama |
Authorized Official Name and Position | Tony W Dollar (DOCTOR) |
Authorized Official Contact | 3347920997 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Professional Lane Dental Association 102 Professional Ln Dothan AL 36303-3874 Ph: (334) 792-0997 | Professional Lane Dental Association 102 Professional Ln Dothan AL 36303-3874 Ph: (334) 792-0997 |
NPI Number | 1871774851 |
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Provider Enumeration Date | 11/19/2007 |
Last Update Date | 11/19/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871774851 | NPI | - | NPPES |
51091806 | Other | AL | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | LNO2848 (Alabama) | Primary |
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