| Springville Family Dental Center | |
|
420 Walker Dr Springville AL 35146-3250 | |
| (205) 467-6147 | |
| (205) 467-2933 |
| Full Name | Springville Family Dental Center |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 420 Walker Dr, Springville, Alabama |
| Authorized Official Name and Position | Joseph Vincent Ronderos (PRESIDENT) |
| Authorized Official Contact | 2054676147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Springville Family Dental Center 420 Walker Dr Po Box 706 Springville AL 35146-3250 Ph: (205) 467-6147 | Springville Family Dental Center 420 Walker Dr Springville AL 35146-3250 Ph: (205) 467-6147 |
| NPI Number | 1487999769 |
|---|---|
| Provider Enumeration Date | 11/28/2012 |
| Last Update Date | 11/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487999769 | NPI | - | NPPES |
| 008905230 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4254 (Alabama) | Primary |
Northeast Alabama Dental, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 106 Legacy Park Way, Springville, AL 35146 Phone: 256-328-6998 |