Organization
EAST ALABAMA DENTAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH ALLAN THOMPSON (OWNER)
(334) 749-5014
Entity
Organization
Contact information
Practice address
1945 1ST AVE, OPELIKA, AL 36801-5403
(334) 749-5014
(334) 749-9823
Mailing address
1945 1ST AVE, OPELIKA, AL 36801-5403
(334) 749-5014
(334) 749-9823
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0005367
AL
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
02/18/2010
Last updated
08/20/2024
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