| Rainsville Pediatric Dental Village | |
|
371 Mccurdy Ave S Rainsville AL 35986-5215 | |
| (256) 638-3000 | |
| (256) 638-3099 |
| Full Name | Rainsville Pediatric Dental Village |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 371 Mccurdy Ave S, Rainsville, Alabama |
| Authorized Official Name and Position | Tara L Moncus (DENTSIT/OWNER) |
| Authorized Official Contact | 2566383000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rainsville Pediatric Dental Village 371 Mccurdy Ave S Rainsville AL 35986-5215 Ph: (256) 638-3000 | Rainsville Pediatric Dental Village 371 Mccurdy Ave S Rainsville AL 35986-5215 Ph: (256) 638-3000 |
| NPI Number | 1871976399 |
|---|---|
| Provider Enumeration Date | 07/01/2015 |
| Last Update Date | 07/01/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871976399 | NPI | - | NPPES |
| 1003811241 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6198 (Alabama) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | 5126 (Alabama) | Primary |
Carter Orthodontics Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Church Ave, Rainsville, AL 35986 Phone: 256-638-9800 | |
Dr. John Anderson Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Church Ave, Rainsville, AL 35986 Phone: 256-638-4436 Fax: 256-638-7212 | |
Phillip L Fortner Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 569 Mccurdy Ave N, Rainsville, AL 35986 Phone: 256-638-7272 Fax: 256-638-7271 | |
Emily Carter, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 89 Church Ave, Rainsville, AL 35986 Phone: 256-899-2345 | |
Dr. Marvin L. Barron Dental Practice Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Church Avenue, Rainsville Clinic, Rainsville, AL 35986 Phone: 256-638-2111 Fax: 256-638-6205 |