Organization
INGRAM DENTAL CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN B. INGRAM D.M.D. (PRESIDENT)
(256) 447-6071
Entity
Organization
Contact information
Practice address
207 ROME AVE, PIEDMONT, AL 36272-1919
(256) 447-6071
(256) 447-6077
Mailing address
207 ROME AVE, PIEDMONT, AL 36272-1919
(256) 447-6071
(256) 447-6077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3942
AL
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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