Individual
DR. LOREN MEREDITH MCCRACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2350 HARGROVE RD E, TUSCALOOSA, AL 35405-2612
(205) 562-7002
(205) 562-6903
Mailing address
2350 HARGROVE RD E, TUSCALOOSA, AL 35405-2612
(205) 562-7002
(205) 562-6903
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5230
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009964985
—
AL
Enumeration date
10/12/2006
Last updated
08/13/2012
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