| Smilecreator Of Alabama Llc | |
|
191 Herren Camp Rd Dadeville AL 36853-6719 | |
| (256) 373-8333 | |
| Not Available |
| Full Name | Smilecreator Of Alabama Llc |
|---|---|
| Speciality | Dentist |
| Location | 191 Herren Camp Rd, Dadeville, Alabama |
| Authorized Official Name and Position | Nilo Hernandez (DOCTOR/AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2563738333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smilecreator Of Alabama Llc 191 Herren Camp Rd Dadeville AL 36853-6719 Ph: () - | Smilecreator Of Alabama Llc 191 Herren Camp Rd Dadeville AL 36853-6719 Ph: (256) 373-8333 |
| NPI Number | 1952099111 |
|---|---|
| Provider Enumeration Date | 04/26/2023 |
| Last Update Date | 04/26/2023 |
| Medicare PECOS PAC ID | 8628439080 |
|---|---|
| Medicare Enrollment ID | O20240201002116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952099111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| Provider Name | Nilo A Hernandez |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1396748372 PECOS PAC ID: 2264852110 Enrollment ID: I20240304002956 |
F. Kent Norris D.m.d., P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 315 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7853 |