| Valley Dental Implant Center Llc | |
|
921 South Broad St Scottsboro AL 35768 | |
| (256) 259-1404 | |
| (256) 259-2042 |
| Full Name | Valley Dental Implant Center Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 921 South Broad St, Scottsboro, Alabama |
| Authorized Official Name and Position | Wayne A Patterson (MEMBER) |
| Authorized Official Contact | 2565746463 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Dental Implant Center Llc 921 South Broad St Scottsboro AL 35768 Ph: (256) 259-1404 | Valley Dental Implant Center Llc 921 South Broad St Scottsboro AL 35768 Ph: (256) 259-1404 |
| NPI Number | 1588733299 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 06/11/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588733299 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 03792 (Alabama) | Primary |
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