| Secd Tuscaloosa Llc | |
|
621 Helen Keller Blvd Tuscaloosa AL 35404-2902 | |
| (205) 915-1865 | |
| Not Available |
| Full Name | Secd Tuscaloosa Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 621 Helen Keller Blvd, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Sara Northcutt (OWNER, DENTIST) |
| Authorized Official Contact | 2059151865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secd Tuscaloosa Llc 1040 Natchez Valley Ln Franklin TN 37064-4704 Ph: (205) 915-1865 | Secd Tuscaloosa Llc 621 Helen Keller Blvd Tuscaloosa AL 35404-2902 Ph: (205) 915-1865 |
| NPI Number | 1053890509 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053890509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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