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Organization

ALABAMA DENTAL PROFESSIONALS PC

Active
Parent organization
ALABAMA DENTAL PROFESSIONALS PC
Other names
Bayside Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
ALABAMA DENTAL PROFESSIONALS PC
Authorized official
JASMINE REARDON (CREDENTIALING COORDINATOR)
(217) 540-8330
Entity
Organization

Contact information

Practice address
19354 GREENO RD, FAIRHOPE, AL 36532-3834
(251) 990-8885
(251) 990-5701
Mailing address
19354 GREENO RD, FAIRHOPE, AL 36532-3834
(251) 990-8885
(251) 990-5701

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
07/01/2015
Last updated
07/01/2015
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