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Organization

HALEIGH S. BLACKWELL, DMD, PC

Active
Other names
Pearly White Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HALEIGH STIDHAM BLACKWELL D.M.D. (PRESIDENT)
(205) 970-7292
Entity
Organization

Contact information

Practice address
3145 GREEN VALLEY RD, SUITE 101, VESTAVIA, AL 35243-5256
(205) 970-7292
(205) 623-3036
Mailing address
3145 GREEN VALLEY RD, SUITE 101, VESTAVIA, AL 35243-5256
(205) 970-7292
(205) 623-3036

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5852
AL

Other

Enumeration date
09/06/2011
Last updated
08/08/2014
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