Individual
PHILIP B ELLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2314 PANSY ST SW, HUNTSVILLE, AL 35801-3803
(256) 534-5028
(256) 534-5073
Mailing address
2314 PANSY ST SW, HUNTSVILLE, AL 35801-3803
(256) 534-5028
(256) 534-5073
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
5313C
AL
Other
Enumeration date
04/18/2006
Last updated
08/15/2007
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