Organization
GADSDEN ORTHODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CATHERINE ELLIS HAYNIE DMD (OWNER,PRESIDENT)
(256) 504-9638
Entity
Organization
Contact information
Practice address
315 S 4TH ST, GADSDEN, AL 35901-5212
(256) 543-1285
Mailing address
315 S 4TH ST, GADSDEN, AL 35901-5212
(256) 543-1285
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5829
AL
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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