Individual
DR. SLADE PIRTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
1007 BROAD ST, PHENIX CITY, AL 36867-5919
(334) 297-2990
Mailing address
1007 BROAD ST, PHENIX CITY, AL 36867-5919
(334) 297-2990
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6304
AL
Other
Enumeration date
06/30/2016
Last updated
06/30/2016
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