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NASSETTA PEDIATRIC DENTISTRY LLC NPI 1992963193


NPI Information

NPI: 1992963193
Provider Name: NASSETTA PEDIATRIC DENTISTRY, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1705 MAIN AVE SW
SUITE A
CULLMAN, AL
ZIP 35055
Phone: (256) 739-6000
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NASSETTA PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Cullman, AL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. NASSETTA PEDIATRIC DENTISTRY, LLC NPI is 1992963193. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1705 MAIN AVE SW
SUITE A
CULLMAN, AL
ZIP 35055-206
Phone: (256) 739-6000

The provider's authorized official is Patrick Conrad Nassetta .
The authorized official title is President and has the following contact phone number (205) 586-5806.

The enumeration date for this NPI number is 5/26/2008 and was last updated on 5/26/2008.


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
11223P0221XDentistPediatric Dentistry5294ALABAMAYes

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: 11/14/2023

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