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Individual

DR. JOHN ALTON MADDOX

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8076B SPRING RUN RD, FAIRHOPE, AL 36532-3854
(251) 990-8181
(251) 990-8181
Mailing address
8076B SPRING RUN RD, FAIRHOPE, AL 36532-3854
(251) 990-8181
(251) 990-8181

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4858
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
51511632
BLUE CROSS BLUE SHIELD
AL
01
JOHNANDNATALIE03
METLIFE
AL
01
MADDOX99
DELTA DENTAL
AL
01
WEB1MADX
SOUTHLAND
AL
Enumeration date
09/21/2005
Last updated
07/09/2007
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