Organization
AL DENTAL PROFESSIONALS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN BLAINE DENTON D.M.D. (DENTAL DIRECTOR)
(615) 620-5990
Entity
Organization
Contact information
Practice address
1518 N BRINDLEE MOUNTAIN PKWY, ARAB, AL 35016-5723
(615) 620-5990
(888) 702-3012
Mailing address
2505 21ST AVE S STE 204, NASHVILLE, TN 37212-5652
(615) 620-5990
(888) 702-3012
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
01/27/2017
Last updated
01/27/2017
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