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Organization
SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC.
Active
Organization
SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD CRUSE (PRESIDENT)
(629) 999-5006
Entity
Organization
Contact information
Practice address
2700 5TH AVE N, BESSEMER, AL 35020-4170
(205) 425-1327
(205) 425-5538
Mailing address
230 E 10TH ST, SUITE 106, ANNISTON, AL 36207-5784
(256) 741-7340
(256) 741-7373
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
NULL
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529932882
—
AL
Enumeration date
09/24/2007
Last updated
02/24/2016
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