Individual
DR. TRACY M NORTHCUTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
23678 HIGHWAY 98, FAIRHOPE, AL 36532-3336
(251) 928-8770
(251) 928-8724
Mailing address
23678 HIGHWAY 98, FAIRHOPE, AL 36532-3336
(251) 928-8770
(251) 928-8724
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4657
AL
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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