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SOUTH HUNTSVILLE DENTISTRY P.C. NPI 1649510967


NPI Information

NPI: 1649510967
Provider Name: SOUTH HUNTSVILLE DENTISTRY, P.C.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
810 SHONEY DR SW
SUITE 100
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 429-9027
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SOUTH HUNTSVILLE DENTISTRY, P.C. is a dental clinic center in Huntsville, AL. SOUTH HUNTSVILLE DENTISTRY, P.C. NPI is 1649510967. The provider is registered as an organization entity type.

The provider's business location address is:

810 SHONEY DR SW
SUITE 100
HUNTSVILLE, AL
ZIP 35801-450
Phone: (256) 429-9027

The provider's authorized official is Craig Shadinger .
The authorized official title is President and has the following contact phone number (256) 429-9027.

The enumeration date for this NPI number is 2/22/2013 and was last updated on 2/24/2016.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental5285ALABAMAYes

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: 5/5/2024

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