Individual
LARRY LAMAR CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
454 DENSON DR, LINEVILLE, AL 36266-0159
(256) 396-2928
(256) 396-2920
Mailing address
PO BOX 159, LINEVILLE, AL 36266-0159
(256) 396-2928
(256) 396-2920
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3322
AL
Other
Enumeration date
09/09/2006
Last updated
07/08/2007
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