Riverview Dental Designs, Pc | |
805 Rice Mine Rd N Tuscaloosa AL 35406-2314 | |
(205) 345-3400 | |
Not Available |
Full Name | Riverview Dental Designs, Pc |
---|---|
Speciality | Dentist |
Location | 805 Rice Mine Rd N, Tuscaloosa, Alabama |
Authorized Official Name and Position | Joseph P Diaz (DENTIST/PRESIDENT) |
Authorized Official Contact | 2053453400 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Riverview Dental Designs, Pc 805 Rice Mine Rd N Tuscaloosa AL 35406-2314 Ph: (205) 345-3400 | Riverview Dental Designs, Pc 805 Rice Mine Rd N Tuscaloosa AL 35406-2314 Ph: (205) 345-3400 |
NPI Number | 1700050036 |
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Provider Enumeration Date | 04/17/2008 |
Last Update Date | 04/17/2008 |
Medicare PECOS PAC ID | 3577867308 |
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Medicare Enrollment ID | O20160215001786 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700050036 | NPI | - | NPPES |
1144327370 | Other | AL | TYPE 1 NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4367 (Alabama) | Primary |
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