Organization
ALABAMA DENTAL PROFESSIONALS, PC
Active
Parent organization
ALABAMA DENTAL PROFESSIONALS, PC
Other names
Lakeside Dental - Tuscaloosa
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALABAMA DENTAL PROFESSIONALS, PC
Authorized official
TABATHA LEMKE (CREDENTIALING COORDINATOR)
(217) 540-6078
Entity
Organization
Contact information
Practice address
5520 RICE MINE RD NE, TUSCALOOSA, AL 35406-2665
(205) 343-9393
Mailing address
5520 RICE MINE RD NE, TUSCALOOSA, AL 35406-2665
(205) 343-9393
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/09/2020
Last updated
10/15/2021
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