Shoal Creek Dental

  • 1194216861 NPI Number
  • |
  • Actived: 2 years ago
  • |
According to our database, the NPI number for Shoal Creek Dental is 1194216861 and activated since 2 years ago. Shoal Creek Dental is an Organization provider specializes in Dental. The provider information was last updated on 05/29/2018.

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Overview of Shoal Creek Dental

  • NPI number: 1407449168
  • Provider type: Organization
  • Active since: 05/29/2018
  • Last updated: 05/29/2018

Primary Scrop of Practice

  • Taxonomy Code: 261QD0000X
  • Specialty: Dental
  • License Number: 3415
  • License State: AL

Provider Mailing Address

  • Address: 1303 Highway 72
    Killen, AL 35645
  • Phone: 256-757-5314
  • Fax:

Provider Practice Location

  • Address: 1303 Highway 72
    Killen, AL 35645
  • Phone: 256-757-5314
  • Fax:

Authorized Official

  • Name: Bruce Evans D.M.D.
  • Position/Title: Owner
  • Telephone Number: 256-766-8800

Scope of Practice

  • Taxonomy Code: 261QD0000X
  • Specialty: Dental
  • License Number: 3415
  • License State: AL
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 164755
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: AL
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shoal Creek Dental?
  • A: The npi number for Shoal Creek Dental is 1194216861.
  • Q: What are Shoal Creek Dental's specialties?
  • A: Shoal Creek Dental's specialties are Dental and different specialities.
  • Q: Where is Shoal Creek Dental business practice location?
  • A: Shoal Creek Dental business practice location is 1303 Highway 72, Killen, AL 35645.
  • Q: How to contact Shoal Creek Dental?
  • A: You can contact Shoal Creek Dental via 256-757-5314.
  • Q: What is the authorized official for Shoal Creek Dental?
  • A: The authorized office name is Bruce Evans D.M.D. with position/title is Owner and you can reach the authorized official via phone number 2567668800.