Gissendaner Family Dentistry

NPI 1023427242 - Dentist - 1223G0001X

NPI Details
NPI 1023427242
Enumeration Date 08/13/2014
Last Updated 08/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ELAINE D ELAINE
Position OWNER
Phone (256) 362-6861
Fax (256) 362-0932
Practice Location
129 NORTH ST E
TALLADEGA AL, 35160-2188, US
Phone (256) 362-6861
Fax (256) 362-0932
Business Location
129 NORTH ST E
TALLADEGA AL, 35160-2188, US
Phone (256) 362-6861
Fax (256) 362-0932
Toxanomy
Taxonomy Code 1223G0001X
License State Alabama
License Number 4569
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According to our database, Gissendaner Family Dentistry NPI is 1023427242, taxonomy code is 1223G0001X and license number is 4569, license state is located at Alabama. Gissendaner Family Dentistry physically located at 129 North St E, Talladega AL, 35160-2188. NPI Number 1033115704 has the healthcare provider type.

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1023427242 NPI number is provided on an as is basis without warranty of any kind. 1023427242 is maintained by the National Plan & Provider Enumeration System. The contents of Gissendaner Family Dentistry are for informational purposes only.