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Organization
STONECREEK DENTAL OF ALABAMA
Active
Organization
STONECREEK DENTAL OF ALABAMA
Active
Parent organization
STONECREEK DENTAL OF ALABAMA
Other names
DIAMOND SMILES HOMEWOOD
Organization subpart
Yes
Provider details
NPI number
Legal business name
STONECREEK DENTAL OF ALABAMA
Authorized official
VERONICA JACKSON (REVENUE CYCLE MANAGER)
(205) 538-5464
Entity
Organization
Contact information
Practice address
112 BROADWAY ST, HOMEWOOD, AL 35209-5312
(205) 847-1415
Mailing address
112 BROADWAY ST, HOMEWOOD, AL 35209-5312
(205) 847-1415
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NONE
—
Enumeration date
01/06/2022
Last updated
01/06/2022
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