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Organization
PINSON FAMILY DENTISTRY, PC
Active
Organization
PINSON FAMILY DENTISTRY, PC
Active
Other names
Deerfoot Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD DANE GROVENSTEIN JR. DMD (PRESIDENT)
(205) 680-1120
Entity
Organization
Contact information
Practice address
6727 DEERFOOT PKWY, PINSON, AL 35126-3093
(250) 680-1120
(205) 680-8806
Mailing address
6727 DEERFOOT PKWY, PINSON, AL 35126-3093
(250) 680-1120
(205) 680-8806
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6302
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659721587
—
AL
Enumeration date
11/07/2017
Last updated
11/07/2017
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