Individual
MICHAEL L MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
513 S 3RD STREET, GADSDEN, AL 35901
(256) 543-7444
(256) 543-1111
Mailing address
513 S 3RD STREET, GADSDEN, AL 35901
(256) 543-7444
(256) 543-1111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3781
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
90799
BCBS
AL
01
—
94255
BCBS
AL
Enumeration date
05/01/2007
Last updated
12/16/2014
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