Organization
SOUTH HUNTSVILLE DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG SHADINGER (PRESIDENT)
(256) 429-9027
Entity
Organization
Contact information
Practice address
810 SHONEY DR SW, SUITE 100, HUNTSVILLE, AL 35801-5450
(256) 429-9027
Mailing address
810 SHONEY DR SW, HUNTSVILLE, AL 35801-5450
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5285
AL
Other
Enumeration date
02/22/2013
Last updated
02/24/2016
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