Organization
MIDFIELD DENTAL CENTER ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM JEFFERSON GRAVES DMD (PRESIDENT)
(205) 923-6828
Entity
Organization
Contact information
Practice address
114 E BROOKWOOD ROAD, MIDFIELD, AL 35228
(205) 923-6828
Mailing address
114 E BROOKWOOD ROAD, MIDFIELD, AL 35228
(205) 923-6828
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3419
AL
1223P0300X
Periodontics
2563
AL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3460
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
993983
UNITED CONCORDIA
PA
Enumeration date
11/24/2006
Last updated
09/11/2025
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