Organization
HERITAGE DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BRADLEY MCKINNEY D.M.D. (DENTIST/OWNER)
(205) 625-3865
Entity
Organization
Contact information
Practice address
308 6TH ST S, SUITE 101, ONEONTA, AL 35121-1846
(205) 625-3865
(205) 274-0384
Mailing address
308 6TH ST S, SUITE 101, ONEONTA, AL 35121-1846
(205) 625-3865
(205) 274-0384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5617
AL
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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