Organization
COMPLETE DENTAL MERIDIANVILLE, LLC
Active
Parent organization
MADISON DENTAL CENTER L.L.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON DENTAL CENTER L.L.C.
Authorized official
DR. BRANDON CHAMBLESS DMD (OWNER)
(256) 774-7228
Entity
Organization
Contact information
Practice address
11808 HIGHWAY 231 431 N, MERIDIANVILLE, AL 35759-2126
(256) 774-7228
Mailing address
120 W DUBLIN DR STE 202, MADISON, AL 35758-3157
(256) 774-7228
(256) 464-5763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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