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Organization
COMFORT DENTAL CARE OF DOTHAN LLC
Active
Organization
COMFORT DENTAL CARE OF DOTHAN LLC
Active
Other names
Alabama Comfort Dental of Dothan
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN A DENTREMONT JR. DMD (LEAD DENTIST)
(334) 792-3838
Entity
Organization
Contact information
Practice address
4440 W MAIN ST, SUITE 2, DOTHAN, AL 36305-1178
(334) 792-3838
(334) 792-6910
Mailing address
4440 W MAIN ST, SUITE 2, DOTHAN, AL 36305-1178
(334) 792-3838
(334) 792-6910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3619
AL
122300000X
Dentist
4021
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009967145
—
AL
01
—
51595942
BLUE CROSS BLUE SHIELD
AL
Enumeration date
06/21/2012
Last updated
06/21/2012
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