Organization
STONECREEK DENTAL OF ALABAMA
Active
Other names
MST DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA JACKSON (REVENUE CYCLE MANAGER)
(205) 919-1750
Entity
Organization
Contact information
Practice address
4702 MISTY RIDGE CIR, BIRMINGHAM, AL 35235-8665
(205) 853-1136
Mailing address
4702 MISTY RIDGE CIR, BIRMINGHAM, AL 35235-8665
(205) 853-1136
(205) 769-6245
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2022
Last updated
06/06/2022
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