Organization
JOHN A. MADDOX, DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MADDOX JR. (DENTIST)
(251) 990-8181
Entity
Organization
Contact information
Practice address
8076B SPRING RUN RD, FAIRHOPE, AL 36532-3854
(251) 990-8181
(251) 990-8181
Mailing address
8076 SPRING RUN DR STE B, FAIRHOPE, AL 36532-3912
(251) 990-8181
(251) 990-8181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01448404
UNITED CONCORDIA
—
01
—
51522336
BLUE CROSS BLUE SHEILD
AL
Enumeration date
09/19/2005
Last updated
04/14/2026
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