# MEDWELL DUNCAN DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1942575444
- **Authorized official:** SHAUNDA KELLY MD (CEO)
- **Authorized official phone:** (205) 514-7390

## Contact information

- **Practice address:** 2705 PELHAM PKWY, PELHAM, AL 35124-1704
- **Practice address phone:** (205) 253-3593
- **Mailing address:** 455 SUNBELT PKWY, BESSEMER, AL 35022-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 5395 | AL | Yes |

## Other

- **Enumeration date:** 03/15/2012
- **Last updated:** 03/15/2012