| Tallassee Family Dentistry Pcc | |
|
1608b Gilmer Avenue Tallassee AL 36078 | |
| (334) 283-8115 | |
| (334) 283-2610 |
| Full Name | Tallassee Family Dentistry Pcc |
|---|---|
| Speciality | Dentist |
| Location | 1608b Gilmer Avenue, Tallassee, Alabama |
| Authorized Official Name and Position | Charles D Mccartha (OWNER) |
| Authorized Official Contact | 3342838115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tallassee Family Dentistry Pcc 1608b Gilmer Avenue Tallassee AL 36078 Ph: (334) 283-8115 | Tallassee Family Dentistry Pcc 1608b Gilmer Avenue Tallassee AL 36078 Ph: (334) 283-8115 |
| NPI Number | 1013009315 |
|---|---|
| Provider Enumeration Date | 09/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013009315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3953 (Alabama) | Primary |
| 122300000X | Dentist | 5300 (Alabama) | Secondary |
John S Rose Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608b Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-8115 | |
Tallassee Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608 Gilmer Ave, Tallassee, AL 36078 Phone: -- | |
Three Lakes Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 Gilmer Ave, Tallassee, AL 36078 Phone: 334-252-9000 Fax: 334-252-9003 |