Individual
DR. JONATHAN E RENFROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
65 WALL ST, ALBERTVILLE, AL 35951-7392
(256) 878-0525
(256) 878-0521
Mailing address
343 SAINT ANDREWS LN, ALBERTVILLE, AL 35951-3901
(256) 891-3439
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4662
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-92578
BC/BS OF AL
AL
Enumeration date
09/12/2006
Last updated
07/08/2007
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