Organization
SOUTH ALABAMA ORTHODONTICS LLC
Active
Organization
SOUTH ALABAMA ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE LANGLEY (OWNER/ORTHODONTIST)
(251) 625-2525
Entity
Organization
Contact information
Practice address
20 SPRING RUN DR, FAIRHOPE, AL 36532-3800
(251) 625-2525
Mailing address
20 SPRING RUN DR, FAIRHOPE, AL 36532-3800
(251) 625-2525
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
AL5418
AL
Other
Enumeration date
11/09/2015
Last updated
04/03/2019
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