Organization
CHILDERSBURG GR DENTAL, LLC
Active
Other names
280 Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS G RICE III DMD (MEMBER)
(706) 207-7133
Entity
Organization
Contact information
Practice address
33044 US HIGHWAY 280, CHILDERSBURG, AL 35044-1896
(256) 378-3322
Mailing address
33044 US HIGHWAY 280, CHILDERSBURG, AL 35044-1896
(256) 378-3322
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
D5959C1
AL
Other
Enumeration date
04/03/2018
Last updated
01/15/2026
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