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Organization

SUMITON FAMILY DENTISTRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BEVERLY LASHEA DODSON (INSURANCE DEPARTMENT MANAGER)
(205) 647-3181
Entity
Organization

Contact information

Practice address
385 BRYAN RD STE 300, SUMITON, AL 35148-3440
(205) 648-6054
(205) 648-3625
Mailing address
385 BRYAN RD STE 300, SUMITON, AL 35148-3440
(205) 647-3181
(205) 647-7375

Taxonomy

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

Other

Enumeration date
11/21/2017
Last updated
11/21/2017
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