Organization
DENTAL ASSOCIATES OF CHILDERSBURG LLC
Active
Other names
Dental Associates of Childersburg LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL GREGORY HAWKINS DMD (DENTIST)
(256) 353-5600
Entity
Organization
Contact information
Practice address
34011B US HIGHWAY 280, CHILDERSBURG, AL 35044-2128
(256) 378-3127
Mailing address
34011B US HIGHWAY 280, CHILDERSBURG, AL 35044-2128
(256) 378-3127
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2019
Last updated
01/16/2019
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