Organization
SEA SMILES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL O'NEILL MEADOR JR. DMD (DENTIST)
(850) 712-5024
Entity
Organization
Contact information
Practice address
825 N ALSTON ST, FOLEY, AL 36535-3509
(251) 943-7575
Mailing address
825 N ALSTON ST, FOLEY, AL 36535-3509
(251) 943-7575
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5789
AL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
5811
AL
Other
Enumeration date
09/20/2015
Last updated
09/20/2015
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