Organization
ALABAMA DENTAL PROFESSIONALS PC
Active
Parent organization
ALABAMA DENTAL PROFESONAL PC
Other names
Limeston Smiles of Athens
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALABAMA DENTAL PROFESONAL PC
Authorized official
KIM ZUBER (CRED SUPEWS)
(217) 540-5170
Entity
Organization
Contact information
Practice address
220 D FRENCH FARMS BLVD, SUITE D, ATHENS, AL 35611
(256) 233-4803
(256) 233-4805
Mailing address
220 D FRENCH FARMS BVD, SUITE D, ATHENS, AL 35611
(256) 233-4803
(256) 233-4805
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
3836
AL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437242195
NPI
AL
01
—
1942570361
NPI
AL
Enumeration date
07/12/2012
Last updated
06/01/2015
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