WALL ST. DENTISTRY P.C. NPI 1588801682

NPI Information

WALL ST. DENTISTRY P.C. is a dental clinic center in Albertville, AL. WALL ST. DENTISTRY P.C. NPI is 1588801682. The provider is registered as an organization entity type.

The provider's business location address is:

65 WALL ST
ALBERTVILLE, AL
ZIP 35951-392
Phone: (256) 878-0525
Fax: (256) 878-0521

The provider's authorized official is Jonathan E. Renfroe .
The authorized official title is Dr. and has the following contact phone number (256) 878-0525.

The enumeration date for this NPI number is 1/12/2009 and was last updated on 12/8/2009.

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:

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