LD-NORTHPORT LLC NPI 1114634730

NPI Information

NPI: 1114634730
Provider Name: LD-NORTHPORT, LLC

Former Legal Business Name: NORTH RIVER DENTAL ASSOCIATES, P.C.

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1100 FAIRFAX PARK
TUSCALOOSA, AL
ZIP 35406
Phone: (205) 752-3506
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LD-NORTHPORT, LLC is a dental clinic center in Tuscaloosa, AL. LD-NORTHPORT, LLC NPI is 1114634730. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is North River Dental Associates, P.c..

The provider's business location address is:

1100 FAIRFAX PARK
TUSCALOOSA, AL
ZIP 35406-809
Phone: (205) 752-3506
Fax: (205) 752-3570

The provider's authorized official is Lauren S Daigneault .
The authorized official title is Admin Director and has the following contact phone number (256) 783-9468.

The enumeration date for this NPI number is 11/2/2022 and was last updated on 7/3/2023.

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
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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