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WIREGRASS DENTAL CENTER LLC NPI 1265956825


NPI Information

NPI: 1265956825
Provider Name: WIREGRASS DENTAL CENTER LLC

Doing Business As: WIREGRASS DENTAL

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

Specialization: Dental

Address:
2 E POINTE CT
ENTERPRISE, AL
ZIP 36330
Phone: (334) 347-3061
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WIREGRASS DENTAL CENTER LLC is a dental clinic center in Enterprise, AL. WIREGRASS DENTAL CENTER LLC NPI is 1265956825. The provider is registered as an organization entity type.
The provider Is Doing Business As Wiregrass Dental.

The provider's business location address is:

2 E POINTE CT
ENTERPRISE, AL
ZIP 36330-392
Phone: (334) 347-3061

The provider's authorized official is Jessica Nix Unterkofler .
The authorized official title is Owner and has the following contact phone number (334) 347-3061.

The enumeration date for this NPI number is 7/26/2017 and was last updated on 7/21/2022.


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
1261QD0000XClinic/CenterDental21381ALABAMAYes

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

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