CHILDERSBURG GR DENTAL LLC NPI 1144726621

NPI Information

NPI: 1144726621
Provider Name: CHILDERSBURG GR DENTAL, LLC

Doing Business As: 280 DENTAL CARE

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

Specialization: Dental

Address:
138 9TH AVE SW
CHILDERSBURG, AL
ZIP 35044
Phone: (256) 378-3322
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CHILDERSBURG GR DENTAL, LLC is a dental clinic center in Childersburg, AL. CHILDERSBURG GR DENTAL, LLC NPI is 1144726621. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As 280 Dental Care.

The provider's business location address is:

138 9TH AVE SW
CHILDERSBURG, AL
ZIP 35044-642
Phone: (256) 378-3322

The provider's authorized official is Thomas G Rice .
The authorized official title is Member and has the following contact phone number (706) 207-7133.

The enumeration date for this NPI number is 4/3/2018 and was last updated on 7/28/2021.

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	1223G0001X	Dentist	General Practice			No
2	261QD0000X	Clinic/Center	Dental	D5959C1	ALABAMA	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: 4/28/2024

NPI Synchronization or Removal

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