Organization
FCDALT, LLC
Active
Parent organization
SRUPTON, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SRUPTON, LLC
Authorized official
SHAHEEN UPTON DMD (OWNER)
(205) 821-1976
Entity
Organization
Contact information
Practice address
1110 N CHALKVILLE RD STE 164, TRUSSVILLE, AL 35173-1063
(205) 235-1210
(205) 336-1151
Mailing address
2757 GREEN SPRINGS HWY, BIRMINGHAM, AL 35209-4903
(205) 874-9605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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