Organization
JVM DENTAL DBA NORTHBANK FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA A MCCLANAHAN DMD (PART-OWNER DENTIST)
(256) 710-5271
Entity
Organization
Contact information
Practice address
1490 N BANK PKWY STE 130, TUSCALOOSA, AL 35406-2431
(256) 710-5271
Mailing address
603 WHISPERING PINES LN, HELENA, AL 35080-7528
(256) 710-5271
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477916435
—
AL
05
—
1841793601
—
AL
Enumeration date
05/30/2021
Last updated
06/24/2021
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