Organization
ALABAMA DENTAL SPECIALIST LLC
Active
Other names
Spectra Dental Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
BRITTANY CHAPMAN (CREDENTIALING MANAGER)
(248) 842-3670
Entity
Organization
Contact information
Practice address
800 KIRTS BLVD STE 650, TROY, MI 48084-4850
(248) 842-3670
(586) 991-1933
Mailing address
800 KIRTS BLVD STE 650, TROY, MI 48084-4850
(248) 842-3670
(586) 991-1933
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
05/18/2020
Last updated
04/10/2024
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