Organization
WEST MADISON DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW HENNINGER DMD (SOLE MEMBER)
(256) 617-2067
Entity
Organization
Contact information
Practice address
10871 COUNTY LINE RD STE A, MADISON, AL 35758-3668
(256) 724-3530
Mailing address
104 STILLMEADOW DR, MADISON, AL 35756-6100
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2023
Last updated
03/01/2023
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