Organization
SOUTHERN ROOTS FAMILY AND COSMETIC DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WALTER P VICKERS JR. (OWNER)
(251) 342-0380
Entity
Organization
Contact information
Practice address
6154 OMNI PARK DR, MOBILE, AL 36609-5195
(251) 414-5142
Mailing address
6154 OMNI PARK DR, MOBILE, AL 36609-5195
(251) 414-5142
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/27/2024
Last updated
09/18/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us