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Organization
STONECREEK DENTAL OF ALABAMA
Active
Organization
STONECREEK DENTAL OF ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA JACKSON (REVENUE CYCLE MANAGER)
(205) 919-1750
Entity
Organization
Contact information
Practice address
1990 SOUTHWOOD RD, VESTAVIA HILLS, AL 35216-1422
(205) 823-1473
(205) 823-1757
Mailing address
1990 SOUTHWOOD RD, VESTAVIA HILLS, AL 35216-1422
(205) 919-1750
(205) 523-1757
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000
NONE
—
Enumeration date
12/28/2021
Last updated
12/28/2021
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