# PREMIERE DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Premiere Dental, Premiere Dental Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598003865
- **Authorized official:** DR. TENESHIA E DANIELS DDS (DENTIST)
- **Authorized official phone:** (256) 469-6428

## Contact information

- **Practice address:** 5045 MEMORIAL PKWY NW, HUNTSVILLE, AL 35810-1077
- **Practice address phone:** (601) 880-6424
- **Mailing address:** 5045 MEMORIAL PKWY NW, HUNTSVILLE, AL 35810-1077
- **Mailing address phone:** (601) 880-6424

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | AL5820 | AL | Yes |

## Other

- **Enumeration date:** 01/22/2013
- **Last updated:** 01/25/2021