Organization
AL DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DICKINSON DDS (MANAGING DIRECTOR)
(334) 803-8700
Entity
Organization
Contact information
Practice address
3400 MONTGOMERY HIGHWAY, DOTHAN, AL 36303
(334) 803-8700
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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