Organization
NORTHEAST ALABAMA DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANT HAYNIE DMD (OWNER)
(256) 328-6998
Entity
Organization
Contact information
Practice address
106 LEGACY PARK WAY, SPRINGVILLE, AL 35146
(256) 328-6998
Mailing address
106 LEGACY PARK WAY, SPRINGVILLE, AL 35146
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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