| Regional Dental Center | |
|
505 Pelham Rd S Jacksonville AL 36265-2775 | |
| (256) 435-4464 | |
| (256) 435-2079 |
| Full Name | Regional Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 505 Pelham Rd S, Jacksonville, Alabama |
| Authorized Official Name and Position | William Bruce Young (OWNER) |
| Authorized Official Contact | 2564354464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Dental Center 505 Pelham Rd S Jacksonville AL 36265-2775 Ph: (256) 435-4464 | Regional Dental Center 505 Pelham Rd S Jacksonville AL 36265-2775 Ph: (256) 435-4464 |
| NPI Number | 1154748218 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 04/04/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154748218 | NPI | - | NPPES |
| 3308 | Other | AL | DELTA |
| 51097747 | Other | AL | BLUE CROSS BLUE SHEILD OF ALABAMA |
| 000097747 | Medicaid | AL | |
| 793127 | Other | AL | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3308 (Alabama) | Primary |
William Bruce Young Dmd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 505 Pelham Rd S, Ste A, Jacksonville, AL 36265 Phone: 256-435-4464 Fax: 256-435-2079 | |
Amanda Davis, Dmd, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1555 Pelham Rd S Ste G, Jacksonville, AL 36265 Phone: 256-371-0310 | |
Eric Lafayette D.m.d Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 703 Pelham Rd S, Jacksonville, AL 36265 Phone: 256-435-6193 | |
Dakota B Clark Dmd Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 1st Ave Sw, Jacksonville, AL 36265 Phone: 256-435-2007 | |
Bruce E. Cunningham, Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1450 1st Ave Sw, Jacksonville, AL 36265 Phone: 256-435-2007 |