Organization
NNY DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE BARBER (PROVIDER ENROLLMENT TEAM LEAD)
(315) 454-6000
Entity
Organization
Contact information
Practice address
2130 S MCKENZIE ST, FOLEY, AL 36535-1753
(251) 971-1014
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
(315) 454-6000
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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