Organization
ENTERPRISE FAMILY DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL CHARLES MCCULLOUGH (OWNER)
(334) 806-7016
Entity
Organization
Contact information
Practice address
534 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-4012
(334) 417-1228
Mailing address
534 BOLL WEEVIL CIR, ENTERPRISE, AL 36330-4012
(334) 417-1228
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2025
Last updated
02/02/2026
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