| Trammell Periodontics Llc | |
|
1554 E Trinity Blvd Montgomery AL 36106-3609 | |
| (334) 277-2100 | |
| Not Available |
| Full Name | Trammell Periodontics Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1554 E Trinity Blvd, Montgomery, Alabama |
| Authorized Official Name and Position | Kyle Hugh Trammell (SOLE MEMBER) |
| Authorized Official Contact | 3342772100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trammell Periodontics Llc 1554 E Trinity Blvd Montgomery AL 36106-3609 Ph: (334) 277-2100 | Trammell Periodontics Llc 1554 E Trinity Blvd Montgomery AL 36106-3609 Ph: (334) 277-2100 |
| NPI Number | 1770902850 |
|---|---|
| Provider Enumeration Date | 04/15/2014 |
| Last Update Date | 04/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770902850 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5863 (Alabama) | Primary |
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