Organization
MADISON DENTAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN FRANKLIN SHEFTALL DDS (OWNER)
(843) 991-0344
Entity
Organization
Contact information
Practice address
115 RAINBOW DR, MADISON, AL 35758-8224
(256) 837-3274
(256) 837-3696
Mailing address
115 RAINBOW DR, MADISON, AL 35758-8224
(256) 837-3274
(256) 837-3696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/25/2011
Last updated
08/25/2011
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