Organization
ROCKET CITY KIDS PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WHITNEY O. SHELTON D.D.S. (DENTIST)
(256) 882-2466
Entity
Organization
Contact information
Practice address
1105 GLENEAGLES DR SW, HUNTSVILLE, AL 35801-6405
(256) 882-2466
(256) 882-2402
Mailing address
1105 GLENEAGLES DR SW, HUNTSVILLE, AL 35801-6405
(256) 882-2466
(256) 882-2402
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4127
AL
Other
Enumeration date
01/16/2014
Last updated
01/16/2014
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