Organization
WIREGRASS DENTAL CENTER LLC
Active
Other names
Wiregrass Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA NIX UNTERKOFLER DMD (OWNER)
(334) 347-3061
Entity
Organization
Contact information
Practice address
2 E POINTE CT, ENTERPRISE, AL 36330-1392
(334) 347-3061
Mailing address
2 EAST POINTE CIRCLE, ENTERPRISE, AL 36330
(334) 347-3061
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
21381
AL
Other
Enumeration date
07/26/2017
Last updated
07/21/2022
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