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Organization
AUTAUGA STATION DENTAL
Active
Organization
AUTAUGA STATION DENTAL
Active
Other names
Autauga Station Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZACKERY ETHAN EADES DMD (DOCTOR/OWNER)
(205) 913-1969
Entity
Organization
Contact information
Practice address
1803 STATION DR STE A, PRATTVILLE, AL 36066-5671
(334) 361-9880
Mailing address
1803 STATION DR STE A, PRATTVILLE, AL 36066-5671
(334) 361-9880
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
12/04/2025
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