| Stonecreek Dental Care -- Hoover | |
|
1633 Montgomery Hwy Ste 5 Hoover AL 35216-4908 | |
| (205) 979-6005 | |
| (205) 979-6073 |
| Full Name | Stonecreek Dental Care -- Hoover |
|---|---|
| Speciality | Dentist |
| Location | 1633 Montgomery Hwy Ste 5, Hoover, Alabama |
| Authorized Official Name and Position | Ron Beasley (OWNER) |
| Authorized Official Contact | 2059796005 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonecreek Dental Care -- Hoover 1633 Montgomery Hwy Ste 5 Hoover AL 35216-4908 Ph: (205) 979-6005 | Stonecreek Dental Care -- Hoover 1633 Montgomery Hwy Ste 5 Hoover AL 35216-4908 Ph: (205) 979-6005 |
| NPI Number | 1780019695 |
|---|---|
| Provider Enumeration Date | 09/10/2013 |
| Last Update Date | 08/30/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780019695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3968 (Alabama) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |
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