Organization
PINSON FAMILY DENTISTRY, PC
Active
Other names
Deerfoot Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD DANE GROVENSTEIN JR. DMD (PRESIDENT)
(205) 680-1120
Entity
Organization
Contact information
Practice address
6727 DEERFOOT PKWY, PINSON, AL 35126-3093
(250) 680-1120
(205) 680-8806
Mailing address
6727 DEERFOOT PKWY, PINSON, AL 35126-3093
(250) 680-1120
(205) 680-8806
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
6302
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659721587
—
AL
Enumeration date
11/07/2017
Last updated
11/07/2017
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