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AZALEA CITY DENTAL LLC NPI 1053571364

NPI Profile

NPI: 1053571364
Provider Name: AZALEA CITY DENTAL, LLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
457 N CRAFT HWY
CHICKASAW, AL
ZIP 36611
Get Directions

Phone: (251) 456-8406

AZALEA CITY DENTAL, LLC is a general practice dentist in Chickasaw, AL. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. AZALEA CITY DENTAL, LLC NPI is 1053571364. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

457 N CRAFT HWY
CHICKASAW, AL
ZIP 36611-364
Phone: (251) 456-8406
Fax: (251) 456-8108

The provider's authorized official is Cindy Black .
The authorized official title is Office Manager and has the following contact phone number (251) 456-8406.

The enumeration date for this NPI number is 6/10/2008 and was last updated on 6/10/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

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: 9/29/2020

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