SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH INC. NPI 1417240482

NPI Information

SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC. is a pediatric dentistry dentist in Selma, AL. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC. NPI is 1417240482. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1013 MEDICAL CENTER PKWY STE 103
SELMA, AL
ZIP 36701-742
Phone: (334) 410-1603
Fax: (334) 410-1604

The provider's authorized official is Todd Cruse .
The authorized official title is President and has the following contact phone number (629) 999-5006.

The enumeration date for this NPI number is 5/24/2011 and was last updated on 3/28/2018.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.