Organization
DECATUR FAMILY DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICIA JOHNSON NAILS DMD (DENTIST/OWNER)
(256) 355-1557
Entity
Organization
Contact information
Practice address
2426 DANVILLE ROAD SW, SUITE R, DECATUR, AL 35603
(256) 355-1557
(256) 355-1911
Mailing address
2426 DANVILLE ROAD SW, SUITE R, DECATUR, AL 35603
(256) 355-1557
(256) 355-1911
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5021
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1375438
UNITED CONCORDIA PROV. #
AL
01
—
51507837NAI
BCBS OF AL PROV. #
AL
Enumeration date
10/03/2006
Last updated
02/18/2010
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