Organization
ALABAMA FAMILY DENTISTRY LLC
Active
Other names
Sumiton Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE MARKS (EXECUTIVE DIRECTOR)
(205) 648-6054
Entity
Organization
Contact information
Practice address
385 BRYAN RD STE 300, SUMITON, AL 35148-3440
(205) 648-6054
(205) 648-3625
Mailing address
205 CALDWELL DR, WARRIOR, AL 35180-1407
(205) 647-3181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5476
AL
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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