| Srupton | |
|
1810 Decatur Hwy Ste 212 Fultondale AL 35068-1700 | |
| (205) 821-1976 | |
| Not Available |
| Full Name | Srupton |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1810 Decatur Hwy Ste 212, Fultondale, Alabama |
| Authorized Official Name and Position | Shaheen Rajpari Upton (OWNER) |
| Authorized Official Contact | 2058749605 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srupton 1810 Decatur Hwy Ste 212 Fultondale AL 35068-1700 Ph: (205) 874-9605 | Srupton 1810 Decatur Hwy Ste 212 Fultondale AL 35068-1700 Ph: (205) 821-1976 |
| NPI Number | 1174957757 |
|---|---|
| Provider Enumeration Date | 08/30/2013 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174957757 | NPI | - | NPPES |
| 153492 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5916 (Alabama) | Primary |
Chambers Family Dentistry Llc Dental Clinic Medicare: Medicare Enrolled Practice Location: 3345 Lowery Pkwy Ste 1120, Fultondale, AL 35068 Phone: 205-502-7505 | |
Alabama Family Dentistry Llc Mbr Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2619 Decatur Hwy, Fultondale, AL 35068 Phone: 205-631-7301 Fax: 205-841-7496 | |
Srupton, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1810 Decatur Hwy Ste 212, Fultondale, AL 35068 Phone: 205-874-9605 |