CENTER FOR COSMETIC AND RESTORATIVE DENTISTRY NPI 1932354727

NPI Information

CENTER FOR COSMETIC AND RESTORATIVE DENTISTRY is a general practice dentist in Northport, 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. CENTER FOR COSMETIC AND RESTORATIVE DENTISTRY NPI is 1932354727. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2820 LURLEEN B WALLACE BLVD
NORTHPORT, AL
ZIP 35476-249
Phone: (205) 339-6762
Fax: (205) 339-9103

The provider's authorized official is Mary Kay Carver .
The authorized official title is Financial Coordinator and has the following contact phone number (205) 339-6762.

The enumeration date for this NPI number is 11/21/2008 and was last updated on 11/21/2008.

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:

Other Identifiers

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

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