ROCKET CITY DENTAL NPI 1609417195

NPI Information

ROCKET CITY DENTAL is a dental clinic center in Huntsville, AL. ROCKET CITY DENTAL NPI is 1609417195. The provider is registered as an organization entity type.

The provider's business location address is:

112 LILY FLAGG RD SW STE B
HUNTSVILLE, AL
ZIP 35802-040
Phone: (256) 881-4580

The provider's authorized official is Sonya Wintzell .
The authorized official title is Owner and has the following contact phone number (256) 881-4580.

The CLIA number assigned to this NPI record is 01D2207909 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/5/2019 and was last updated on 10/5/2019.

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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