Organization
STONECREEK DENTAL OF ALABAMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA JACKSON (REVENUE CYCLE MANAGER)
(205) 191-7509
Entity
Organization
Contact information
Practice address
2074 VALLEYDALE RD, HOOVER, AL 35244-2084
(205) 991-8939
Mailing address
2074 VALLEYDALE RD, HOOVER, AL 35244-2084
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000
NONE
—
Enumeration date
02/07/2022
Last updated
02/07/2022
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