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Organization

G. EARL HYDRICK, D.D.S.; P.A.

Active
Other names
The Smile Design Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. G EARL HYDRICK D.D.S.; P.A. (PRESIDENT)
(205) 750-8008
Entity
Organization

Contact information

Practice address
600 UNIVERSITY BLVD E, SUITE B-3, TUSCALOOSA, AL 35401-2067
(205) 750-8008
(205) 750-8152
Mailing address
600 UNIVERSITY BLVD E, SUITE B-3, TUSCALOOSA, AL 35401-2067
(205) 750-8008
(205) 750-8152

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3428
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
510-76357
BCBS OF AL.
AL
01
510-93555
BCBS OF AL.
AL
01
604459
UNITED CONCORDIA
AL
Enumeration date
04/03/2008
Last updated
04/03/2008
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