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Organization

GORDON R ISBELL, III, DMD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GORDON ROSWELL ISBELL III DMD, PA (PRESIDENT)
(256) 547-3589
Entity
Organization

Contact information

Practice address
241 S 4TH ST, GADSDEN, AL 35901-4213
(256) 547-3589
(256) 543-2929
Mailing address
241 S 4TH ST, GADSDEN, AL 35901-4213
(256) 547-3589
(256) 543-2929

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3678
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1891748281
NPPES
AL
01
1952667230
NPPES
AL
Enumeration date
05/20/2014
Last updated
05/20/2014
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