Organization
DR STEPHEN S PHELAN DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNDA KISSEL (OFFICE COORDINATOR)
(334) 277-2100
Entity
Organization
Contact information
Practice address
1554 E TRINITY BLVD, MONTGOMERY, AL 36106-3609
(334) 277-2100
Mailing address
1554 E TRINITY BLVD, MONTGOMERY, AL 36106-3609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2873
AL
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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