| Tuscaloosa Dental Llc | |
|
1402 Veterans Memorial Pkwy Suite A & B Tuscaloosa AL 35404 | |
| (334) 875-1330 | |
| Not Available |
| Full Name | Tuscaloosa Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1402 Veterans Memorial Pkwy, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Blair Bennett (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3348751330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tuscaloosa Dental Llc 2425 Medical Center Pkwy Selma AL 36701-7756 Ph: (334) 875-1330 | Tuscaloosa Dental Llc 1402 Veterans Memorial Pkwy Suite A & B Tuscaloosa AL 35404 Ph: (334) 875-1330 |
| NPI Number | 1467143586 |
|---|---|
| Provider Enumeration Date | 05/18/2023 |
| Last Update Date | 05/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467143586 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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