Individual
DR. SHEILA GAIL DARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
106 3RD AVE SE, REFORM, AL 35481
(205) 375-6314
(205) 375-6314
Mailing address
PO BOX 669, 106 3RD AVE SE, REFORM, AL 35481-0669
(205) 375-6314
(205) 375-6314
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4592
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4592
DENTAL LICENSE NUMBER
AL
01
—
510-40740
BCBS NUMBER
AL
Enumeration date
04/23/2007
Last updated
07/08/2007
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