Organization
PRATTVILLE DENTAL ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN FRANKLIN SHEFTALL D.D.S. (OWNER/PRESIDENT)
(843) 991-0344
Entity
Organization
Contact information
Practice address
660 MCQUEEN SMITH RD N, PRATTVILLE, AL 36066-7554
(334) 491-1725
Mailing address
660 MCQUEEN SMITH RD N, PRATTVILLE, AL 36066-7554
(334) 491-1725
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/19/2016
Last updated
05/19/2016
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