Organization
FLINT RIVER DENTISTRY LLC
Active
Other names
Flint River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
PAOLA LOPEZ (PAYOR ENROLLMENT SPECIALIST TEAM LE)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2130 WINCHESTER RD NE, SUITE D, HUNTSVILLE, AL 35811
(256) 859-8066
(855) 259-1075
Mailing address
2130 WINCHESTER RD NE, SUITE D, HUNTSVILLE, AL 35811
(256) 859-8066
(855) 259-1075
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/20/2015
Last updated
12/03/2025
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