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Organization
SCOTTSBORO FAMILY AND GENERAL DENTISTRY PC
Active
Organization
SCOTTSBORO FAMILY AND GENERAL DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRETT L BRADFORD D.M.D. (PRESIDENT)
(256) 259-4411
Entity
Organization
Contact information
Practice address
420 S MARKET ST, SCOTTSBORO, AL 35768-1857
(256) 259-4411
(256) 574-5653
Mailing address
420 S MARKET ST, SCOTTSBORO, AL 35768-1857
(256) 259-4411
(256) 574-5653
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6098
AL
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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