Organization
RUSSELLVILLE FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKE MCLEARY DDS (DENTIST)
(256) 332-6073
Entity
Organization
Contact information
Practice address
510 ENGLE DR SE, RUSSELLVILLE, AL 35653-2749
(256) 332-6073
(256) 332-6655
Mailing address
510 ENGLE DR SE, RUSSELLVILLE, AL 35653-2749
(256) 332-6073
(256) 332-6655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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