Organization
THOMASVILLE FAMILY DENTIST, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R STOUDENMIRE DMD (OWNER)
(334) 636-2774
Entity
Organization
Contact information
Practice address
325 ALABAMA AVE W, THOMASVILLE, AL 36784-3105
(334) 636-2774
(334) 636-2799
Mailing address
325 ALABAMA AVE W, THOMASVILLE, AL 36784-3105
(334) 636-2774
(334) 636-2799
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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