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Organization

J BRETT BETTIS DMD,PC

Active
Other names
Argo Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN BRETT BETTIS DMD PC (OWNER DENTIST)
(205) 467-2211
Entity
Organization

Contact information

Practice address
750 HWY 11, SUITE 4, TRUSSVILLE, AL 35173-4392
(205) 467-2211
(205) 467-9744
Mailing address
750 HWY 11, SUITE 4, TRUSSVILLE, AL 35173-4392
(205) 467-2211
(205) 467-9744

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5069
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
103389
UNITED HEALTHCARE
01
51097655
BCBS ALA
AL
05
529932885
AL
01
64315
UNITED CONCORDIA
Enumeration date
08/15/2007
Last updated
06/18/2008
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