Organization
ISBELL DENTAL BLUE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GORDON R ISBELL III DMD, PA (PRESIDENT)
(256) 547-3589
Entity
Organization
Contact information
Practice address
3228 RAINBOW DR, RAINBOW CITY, AL 35906-5804
(256) 442-1797
Mailing address
241 S 4TH ST, GADSDEN, AL 35901-4213
(256) 547-3589
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3678
AL
Other
Enumeration date
10/16/2015
Last updated
10/16/2015
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