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Organization

PROACT DENTAL, INC.

Active
Other names
Smiles for Keeps
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN ROGER SMITH D.M.D. (PRESIDENT)
(205) 592-2255
Entity
Organization

Contact information

Practice address
5528 1ST AVE N, BIRMINGHAM, AL 35212-2445
(205) 592-2255
(205) 592-3352
Mailing address
5528 1ST AVE N, BIRMINGHAM, AL 35212-2445
(205) 592-2255
(205) 592-3352

Taxonomy

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

Other

Enumeration date
10/19/2006
Last updated
09/10/2007
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