Individual
DR. JEREMY DYLAN MCDONIELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
506 N SECTION ST, FAIRHOPE, AL 36532-2616
(251) 928-1645
Mailing address
506 N SECTION ST, FAIRHOPE, AL 36532-2616
(251) 928-1645
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D.007296-C1
AL
Other
Enumeration date
05/09/2022
Last updated
01/07/2025
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