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Organization

RONALD ALYN MACBETH DMD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD MACBETH (DENTIST)
(850) 380-6814
Entity
Organization

Contact information

Practice address
1045 BROADWAY PARK, SUITE 101, BIRMINGHAM, AL 35209-3520
(850) 380-6814
(850) 380-6814
Mailing address
219 DEVON DR, BIRMINGHAM, AL 35209-4317
(850) 380-6814

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6453
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1255746608
MN
Enumeration date
11/28/2017
Last updated
11/28/2017
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