Organization
ALABAMA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ALABAMA DENTAL PROFESSIONALS, P.C.
Other names
Rousseau Family Dentistry, Plaza Boulevard Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALABAMA DENTAL PROFESSIONALS, P.C.
Authorized official
HEATHER PRUEMER (CREDENTIALING TEAM LEAD)
(217) 540-8434
Entity
Organization
Contact information
Practice address
136 PLAZA BLVD, SUITE A, MADISON, AL 35758-1160
(256) 464-3556
(256) 464-3553
Mailing address
136 PLAZA BLVD, SUITE A, MADISON, AL 35758-1160
(256) 464-3556
(256) 464-3553
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-09614
BCBS OF AL PROVIDER NUMBE
AL
01
—
515-34033
BCBS OF AL PROVIDER NUMBE
AL
Enumeration date
09/20/2006
Last updated
08/01/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us