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MARBLE CITY PEDIATRIC DENTISTRY NPI 1114321643


NPI Information

NPI: 1114321643
Provider Name: MARBLE CITY PEDIATRIC DENTISTRY
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1039 W FORT WILLIAMS ST
SYLACAUGA, AL
ZIP 35150
Phone: (256) 245-1399
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MARBLE CITY PEDIATRIC DENTISTRY is a preferred provider organization in Sylacauga, AL. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. MARBLE CITY PEDIATRIC DENTISTRY NPI is 1114321643. The provider is registered as an organization entity type.

The provider's business location address is:

1039 W FORT WILLIAMS ST
SYLACAUGA, AL
ZIP 35150-301
Phone: (256) 245-1399
Fax: (205) 408-8187

The provider's authorized official is Jonathan C Curtis .
The authorized official title is Dentist and has the following contact phone number (256) 245-1399.

The enumeration date for this NPI number is 10/13/2014 and was last updated on 10/13/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1305R00000XPreferred Provider Organization5263ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1009934268MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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