| Redmond Dental, Inc. | |
|
2301 Moody Pkwy Ste #9 Moody AL 35004-3012 | |
| (205) 640-0145 | |
| (205) 640-6002 |
| Full Name | Redmond Dental, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2301 Moody Pkwy, Moody, Alabama |
| Authorized Official Name and Position | Nathaniel D Redmond (OWNER) |
| Authorized Official Contact | 2056400145 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redmond Dental, Inc. 2301 Moody Pkwy Ste #9 Moody AL 35004-3012 Ph: (205) 640-0145 | Redmond Dental, Inc. 2301 Moody Pkwy Ste #9 Moody AL 35004-3012 Ph: (205) 640-0145 |
| NPI Number | 1003162389 |
|---|---|
| Provider Enumeration Date | 07/24/2012 |
| Last Update Date | 07/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003162389 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5213 (Alabama) | Primary |
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