| Restoration Dental | |
|
4402 Cogswell Ave Pell City AL 35125-2702 | |
| (205) 338-0475 | |
| (205) 338-0528 |
| Full Name | Restoration Dental |
|---|---|
| Speciality | Dentist |
| Location | 4402 Cogswell Ave, Pell City, Alabama |
| Authorized Official Name and Position | Sandra Tinsley Lanter (OWNER/DENTIST) |
| Authorized Official Contact | 2053380475 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restoration Dental 4402 Cogswell Ave Pell City AL 35125-2702 Ph: (205) 338-0475 | Restoration Dental 4402 Cogswell Ave Pell City AL 35125-2702 Ph: (205) 338-0475 |
| NPI Number | 1932643129 |
|---|---|
| Provider Enumeration Date | 12/07/2016 |
| Last Update Date | 12/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932643129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4745 (Alabama) | Primary |
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