SCOTTSBORO FAMILY AND GENERAL DENTISTRY PC NPI 1083069579

NPI Information

SCOTTSBORO FAMILY AND GENERAL DENTISTRY PC is a dental clinic center in Scottsboro, AL. SCOTTSBORO FAMILY AND GENERAL DENTISTRY PC NPI is 1083069579. The provider is registered as an organization entity type.

The provider's business location address is:

420 S MARKET ST
SCOTTSBORO, AL
ZIP 35768-857
Phone: (256) 259-4411
Fax: (256) 574-5653

The provider's authorized official is Barrett L Bradford .
The authorized official title is President and has the following contact phone number (256) 259-4411.

The CLIA number assigned to this NPI record is 01D2075925 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2016 and was last updated on 5/3/2016.

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:

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