Organization
MICHAEL S. PUGH DMD, P.C.
Active
Other names
Michael S. Pugh DMD, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
AMY L ECHOLS (ACCOUNTS RECEIVABLE)
(256) 536-3386
Entity
Organization
Contact information
Practice address
108 CENTRAL AVE SE, HUNTSVILLE, AL 35801-3814
(256) 536-3386
(256) 536-3387
Mailing address
108 CENTRAL AVE SE, HUNTSVILLE, AL 35801-3814
(256) 536-3386
(256) 536-3387
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3111543
BLUE CROSS BLUE SHIELD OF TENNESSEE
TN
01
—
51034322
BLUE CROSS BLUE SHIELD
AL
01
—
881837
UNITED CONCORDIA
AL
Enumeration date
07/24/2019
Last updated
07/24/2019
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