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Organization
MARVIN M HEWLETT JR DDS PC
Active
Organization
MARVIN M HEWLETT JR DDS PC
Active
Other names
Marvin M Hewlett Jr DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARVIN MCCOY HEWLETT JR. DDS (DENTIST PRESIDENT)
(334) 382-5431
Entity
Organization
Contact information
Practice address
402 E COMMERCE STREET, GREENVILLE, AL 36037
(334) 382-5431
(334) 382-2492
Mailing address
402 E COMMERCE STREET, GREENVILLE, AL 36037
(334) 382-5431
(334) 382-2492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3171
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515 20247
BLUE CROSS BLUE SHIELD AL
AL
05
—
529919350
—
AL
Enumeration date
08/30/2006
Last updated
05/03/2016
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