Organization
MX6, LLC
Active
Other names
McCracken Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW RYAN MCCRACKEN DMD (OWNER/DENTIST)
(205) 633-1900
Entity
Organization
Contact information
Practice address
621 HELEN KELLER BLVD STE 100, TUSCALOOSA, AL 35404-2962
(205) 633-1900
(205) 633-1154
Mailing address
621 HELEN KELLER BLVD STE 100, TUSCALOOSA, AL 35404-2962
(205) 633-1900
(205) 633-1154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5196
DENTAL LICENSE
AL
01
—
5230
DENTAL LICENSE
AL
Enumeration date
04/22/2021
Last updated
04/22/2021
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