| Providence Family Dental | |
|
475 Providence Main St Nw Suite #301 Huntsville AL 35806-4815 | |
| (256) 489-5600 | |
| (256) 489-5640 |
| Full Name | Providence Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 475 Providence Main St Nw, Huntsville, Alabama |
| Authorized Official Name and Position | Sewah Persaud (OWNER/DENTIST) |
| Authorized Official Contact | 2564895600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Family Dental 475 Providence Main St Nw Suite #301 Huntsville AL 35806-4815 Ph: (256) 489-5600 | Providence Family Dental 475 Providence Main St Nw Suite #301 Huntsville AL 35806-4815 Ph: (256) 489-5600 |
| NPI Number | 1467550327 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467550327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5091 (Alabama) | Primary |
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