Tallassee Family Dentistry Pcc

NPI 1013009315 - Dentist - 122300000X

NPI Details
NPI 1013009315
Enumeration Date 09/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name CHARLES D CHARLES
Position OWNER
Phone (334) 283-8115
Fax (334) 283-2610
Practice Location
1608B GILMER AVENUE
TALLASSEE AL, 36078, US
Phone (334) 283-8115
Fax (334) 283-2610
Business Location
1608B GILMER AVENUE
TALLASSEE AL, 36078, US
Phone (334) 283-8115
Fax (334) 283-2610
Toxanomy
Taxonomy Code 122300000X
License State Alabama
License Number 5300
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According to our database, Tallassee Family Dentistry Pcc NPI is 1013009315, taxonomy code is 122300000X and license number is 5300, license state is located at Alabama. Tallassee Family Dentistry Pcc physically located at 1608b Gilmer Avenue, Tallassee AL, 36078. NPI Number 1033115704 has the healthcare provider type.

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1013009315 NPI number is provided on an as is basis without warranty of any kind. 1013009315 is maintained by the National Plan & Provider Enumeration System. The contents of Tallassee Family Dentistry Pcc are for informational purposes only.