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Organization

SRD RUSSELLVILLE PLLC

Active
Other names
Singing River Dentistry Russellville
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTYN SHIELDS (CONTROLLER)
(256) 320-5903
Entity
Organization

Contact information

Practice address
531 SAINT CLAIR ST SE, RUSSELLVILLE, AL 35653-2719
(256) 332-6888
Mailing address
PO BOX 740979, TUSCUMBIA, AL 35674-7423

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/20/2022
Last updated
07/06/2022
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