Organization
SHOALS SMILE BY DESIGN,PC
Active
Other names
Jamine C. Rogers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBBIE L. GALLOWAY RDH (OFFICE MANAGER)
(256) 314-0676
Entity
Organization
Contact information
Practice address
301 W STATE ST, MUSCLE SHOALS, AL 35661-2835
(256) 314-0676
(256) 314-6373
Mailing address
301 W STATE ST, MUSCLE SHOALS, AL 35661-2835
(256) 314-0676
(256) 314-6373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4664
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
52903880
—
AL
01
—
92836
BCBS PROVIDER ID
AL
Enumeration date
03/01/2007
Last updated
06/19/2008
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