Organization
STONECREEK DENTAL OF ALABAMA
Active
Parent organization
STONECREEK DENTAL OF ALABAMA
Other names
StoneCreek Dental of Alabama
Organization subpart
Yes
Provider details
NPI number
Legal business name
STONECREEK DENTAL OF ALABAMA
Authorized official
VERONICA JACKSON (CREDENTIALING MANAGER)
(205) 919-1750
Entity
Organization
Contact information
Practice address
1840 MONTCLAIRE DR, VESTAVIA HILLS, AL 35216-1408
(205) 870-5445
Mailing address
1840 MONTCLAIRE DR, VESTAVIA HILLS, AL 35216-1408
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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