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Organization
SPANISH FORT DENTAL ASSOCIATES, LLC
Active
Organization
SPANISH FORT DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL D. GREEN DDS (DENTIST)
(251) 978-6028
Entity
Organization
Contact information
Practice address
6450 US HIGHWAY 90 STE D, SPANISH FORT, AL 36527-9480
(251) 626-7675
(251) 626-8194
Mailing address
5 AUDUBON PL, FAIRHOPE, AL 36532-3001
(251) 978-6029
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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