| Stonecreek Dental Of Alabama,llc | |
|
310 The Mall Way Jasper AL 35504-7514 | |
| (205) 221-5610 | |
| Not Available |
| Full Name | Stonecreek Dental Of Alabama,llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 310 The Mall Way, Jasper, Alabama |
| Authorized Official Name and Position | Veronica Jackson (REVENUE CYCLE MANAGER) |
| Authorized Official Contact | 2059191750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stonecreek Dental Of Alabama,llc 310 The Mall Way Jasper AL 35504-7514 Ph: (205) 221-5610 | Stonecreek Dental Of Alabama,llc 310 The Mall Way Jasper AL 35504-7514 Ph: (205) 221-5610 |
| NPI Number | 1881389658 |
|---|---|
| Provider Enumeration Date | 04/07/2023 |
| Last Update Date | 04/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881389658 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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