| University Orthodontics Llc | |
|
641 Helen Keller Blvd Tuscaloosa AL 35404-2983 | |
| (205) 553-2524 | |
| (205) 553-6617 |
| Full Name | University Orthodontics Llc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 641 Helen Keller Blvd, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Peter Jason Goltz (OWNER/ORTHODONTIST) |
| Authorized Official Contact | 2055532524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Orthodontics Llc 641 Helen Keller Blvd Tuscaloosa AL 35404-2983 Ph: (205) 553-2524 | University Orthodontics Llc 641 Helen Keller Blvd Tuscaloosa AL 35404-2983 Ph: (205) 553-2524 |
| NPI Number | 1104330950 |
|---|---|
| Provider Enumeration Date | 11/30/2017 |
| Last Update Date | 11/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104330950 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5557 (Alabama) | Primary |
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