Southern Comfort Dental Anesthesia | |
4032 Balmoral Dr Sw Huntsville AL 35801-6402 | |
(720) 936-9168 | |
Not Available |
Full Name | Southern Comfort Dental Anesthesia |
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Speciality | Dentist - Dentist Anesthesiologist |
Location | 4032 Balmoral Dr Sw, Huntsville, Alabama |
Authorized Official Name and Position | Paul Wilson (PRESIDENT) |
Authorized Official Contact | 7209369168 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Southern Comfort Dental Anesthesia 108 Meadowglade Ln Madison AL 35758-6851 Ph: (720) 936-9168 | Southern Comfort Dental Anesthesia 4032 Balmoral Dr Sw Huntsville AL 35801-6402 Ph: (720) 936-9168 |
NPI Number | 1609599349 |
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Provider Enumeration Date | 09/19/2022 |
Last Update Date | 09/26/2022 |
Identifier | Type | State | Issuer |
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1609599349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223D0004X | Dentist - Dentist Anesthesiologist | (* (Not Available)) | Primary |
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