Organization
CAPSTONE DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER T DICKSON DMD (DENTIST)
(205) 248-9077
Entity
Organization
Contact information
Practice address
100 RICE MINE RD N, SUITE D, TUSCALOOSA, AL 35406-2300
(205) 248-9077
(205) 248-9076
Mailing address
100 RICE MINE RD N, SUITE D, TUSCALOOSA, AL 35406-2300
(205) 248-9077
(205) 248-9076
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4990
AL
1223G0001X
General Practice Dentistry
4999
AL
Other
Enumeration date
11/28/2006
Last updated
08/22/2020
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