Organization
COOSA COUNTY FAMILY DENTISTRY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DWAYNE ALBRITTON DMD (OWNER)
(205) 879-9761
Entity
Organization
Contact information
Practice address
RR 2 BOX 44, ROCKFORD, AL 35136-9507
(256) 377-4647
(256) 377-1430
Mailing address
PO BOX 660845, BIRMINGHAM, AL 35266
(205) 879-9761
(205) 879-6565
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4348
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529922440
—
AL
Enumeration date
04/06/2007
Last updated
03/24/2008
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