| Teethrescue | |
|
201 N Main St Ste J Boaz AL 35957-1643 | |
| (256) 593-0035 | |
| (256) 593-9101 |
| Full Name | Teethrescue |
|---|---|
| Speciality | Dentist |
| Location | 201 N Main St Ste J, Boaz, Alabama |
| Authorized Official Name and Position | Brittany Patterson (INSURANCE COORDINATOR) |
| Authorized Official Contact | 2565930035 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Teethrescue Po Box 309 Pisgah AL 35765-0309 Ph: (256) 593-0035 | Teethrescue 201 N Main St Ste J Boaz AL 35957-1643 Ph: (256) 593-0035 |
| NPI Number | 1154783280 |
|---|---|
| Provider Enumeration Date | 03/28/2016 |
| Last Update Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154783280 | NPI | - | NPPES |
| 1144296302 | Other | AL | NPPES |
| 1194028431 | Other | AL | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5809 (Alabama) | Secondary |
| 122300000X | Dentist | 4276 (Alabama) | Primary |
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