Decatur Family Dentistry, Pc

NPI 1073608477 - Dentist - 1223G0001X

NPI Details
NPI 1073608477
Enumeration Date 10/03/2006
Last Updated 02/18/2010
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ALICIA JOHNSON ALICIA
Position DENTIST/OWNER
Phone (256) 355-1557
Fax (256) 355-1911
Practice Location
2426 DANVILLE ROAD SW
SUITE R
DECATUR AL, 35603, US
Phone (256) 355-1557
Fax (256) 355-1911
Business Location
2426 DANVILLE ROAD SW
SUITE R
DECATUR AL, 35603, US
Phone (256) 355-1557
Fax (256) 355-1911
Toxanomy
Taxonomy Code 1223G0001X
License State Alabama
License Number 5021
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According to our database, Decatur Family Dentistry, Pc NPI is 1073608477, taxonomy code is 1223G0001X and license number is 5021, license state is located at Alabama. Decatur Family Dentistry, Pc physically located at 2426 Danville Road Sw, Decatur AL, 35603. NPI Number 1033115704 has the healthcare provider type.

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1073608477 NPI number is provided on an as is basis without warranty of any kind. 1073608477 is maintained by the National Plan & Provider Enumeration System. The contents of Decatur Family Dentistry, Pc are for informational purposes only.