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Organization
CAROLE FULLER EDMONDS, DMD
Active
Organization
CAROLE FULLER EDMONDS, DMD
Active
Other names
TeethRescue
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRITTANY PATTERSON (INSURANCE COORDINATOR)
(256) 593-0035
Entity
Organization
Contact information
Practice address
201 N MAIN ST STE J, BOAZ, AL 35957-1643
(256) 593-0035
(256) 593-9101
Mailing address
PO BOX 309, PISGAH, AL 35765-0309
(256) 593-0035
(256) 593-9101
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4276
AL
122300000X
Dentist
5809
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144296302
NPPES
AL
01
—
1194028431
NPPES
AL
Enumeration date
03/28/2016
Last updated
07/17/2023
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