Timothy Blake Maddox DMD

NPI 1912090986 - Dentist - 1223G0001X

NPI Details
NPI 1912090986
Gender Male
Enumeration Date 10/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
211 N MAIN STREET
WARRIOR AL, 35180, US
Phone (205) 647-3181
Fax (205) 647-1134
Business Location
211 N MAIN STREET
WARRIOR AL, 35180, US
Phone (205) 647-3181
Fax (205) 647-1134
Toxanomy
Taxonomy Code 1223G0001X
License State Alabama
License Number 4944
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According to our database, Timothy Blake Maddox DMD NPI is 1912090986, taxonomy code is 1223G0001X and license number is 4944, license state is located at Alabama. Timothy Blake Maddox DMD physically located at 211 N Main Street, Warrior AL, 35180. NPI Number Timothy Blake Maddox DMD has the Individual type.

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1912090986 NPI number is provided on an as is basis without warranty of any kind. 1912090986 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Blake Maddox DMD are for informational purposes only.