Organization
MT CHEAHA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ZACKARY JONES DMD (DENTIST)
(205) 253-3214
Entity
Organization
Contact information
Practice address
386 ROSS ST, HEFLIN, AL 36264
(205) 253-3214
Mailing address
555 BROCKFORD RD, HEFLIN, AL 36264-1664
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5614
AL
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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