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720 Monument Dr Millbrook AL 36054-1849 | |
(334) 285-3797 | |
(334) 285-8900 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 720 Monument Dr, Millbrook, Alabama |
Authorized Official Name and Position | Jonathan Denton (OWNER/DENTIST) |
Authorized Official Contact | 2515800979 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1236 Fairhope AL 36533-1236 Ph: (251) 580-0979 | 720 Monument Dr Millbrook AL 36054-1849 Ph: (334) 285-3797 |
NPI Number | 1053740134 |
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Provider Enumeration Date | 11/08/2013 |
Last Update Date | 11/08/2013 |
Identifier | Type | State | Issuer |
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1053740134 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 4502 (Alabama) | Primary |