| Valley Wide Dental | |
|
1616 Pulaski Pike Nw Huntsville AL 35816-2534 | |
| (256) 536-2771 | |
| (256) 539-5284 |
| Full Name | Valley Wide Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1616 Pulaski Pike Nw, Huntsville, Alabama |
| Authorized Official Name and Position | J Will Baker (OWNER) |
| Authorized Official Contact | 2565362771 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Wide Dental Po Box 5748 Huntsville AL 35814-5748 Ph: (256) 536-2771 | Valley Wide Dental 1616 Pulaski Pike Nw Huntsville AL 35816-2534 Ph: (256) 536-2771 |
| NPI Number | 1831224245 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 02/24/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831224245 | NPI | - | NPPES |
| 529907820 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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