Organization
HARTSELLE FAMILY DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY LYNN HOLLADAY D.M.D. (OWNER/DENTIST)
(256) 773-0800
Entity
Organization
Contact information
Practice address
1511 HIGHWAY 31 SW, SUITE B, HARTSELLE, AL 35640-2818
(256) 773-0800
Mailing address
1511 HIGHWAY 31 SW, SUITE B, HARTSELLE, AL 35640-2818
(256) 773-0800
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
5773
AL
1223G0001X
General Practice Dentistry
Primary
5958
AL
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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