Organization
JOSH HEADLEY DMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA RAY HEADLEY DMD (DENTIST)
(256) 504-8250
Entity
Organization
Contact information
Practice address
4643 CAMP COLEMAN RD STE 125, TRUSSVILLE, AL 35173-2838
(205) 774-1823
Mailing address
4755 LIBERTY PARK LN, VESTAVIA, AL 35242-2255
(256) 504-8250
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/26/2024
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