Organization
PIEDMONT DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY RAY EBERHART D.M.D (DOCTOR)
(256) 927-2600
Entity
Organization
Contact information
Practice address
114 W LADIGA ST, PIEDMONT, AL 36272-2018
(256) 447-7844
Mailing address
114 W LADIGA ST, PIEDMONT, AL 36272-2018
(256) 447-7844
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4860
AL
122300000X
Dentist
Primary
5112
AL
122300000X
Dentist
5161
AL
Other
Enumeration date
07/21/2015
Last updated
08/10/2015
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