Organization
STONECREEK DENTAL OF ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA JACKSON (REVENUE CYCLE MANAGER)
(205) 538-5464
Entity
Organization
Contact information
Practice address
8301 HIGHWAY 31 N STE 109, MORRIS, AL 35116-1301
(205) 647-2050
Mailing address
8301 HIGHWAY 31 N STE 109, MORRIS, AL 35116-1301
(205) 647-2050
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
NONE
—
Enumeration date
12/28/2021
Last updated
12/28/2021
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