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HERITAGE DENTAL P.C. NPI 1417101981


NPI Information

NPI: 1417101981
Provider Name: HERITAGE DENTAL, P.C.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
308 6TH ST S
SUITE 101
ONEONTA, AL
ZIP 35121
Phone: (205) 625-3865
Get Directions

HERITAGE DENTAL, P.C. is a general practice dentist in Oneonta, 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. HERITAGE DENTAL, P.C. NPI is 1417101981. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

308 6TH ST S
SUITE 101
ONEONTA, AL
ZIP 35121-846
Phone: (205) 625-3865
Fax: (205) 274-0384

The provider's authorized official is John Bradley Mckinney .
The authorized official title is Dentist/owner and has the following contact phone number (205) 625-3865.

The enumeration date for this NPI number is 11/11/2008 and was last updated on 11/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice5617ALABAMAYes

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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