Organization
RIVERVIEW ORTHODONTICS, P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. P MIKE UPTON D.M.D., M.S. (ORTHODONTIST)
(205) 752-4343
Entity
Organization
Contact information
Practice address
815 RICE MINE RD N, TUSCALOOSA, AL 35406-2314
(205) 752-4343
(205) 752-4347
Mailing address
815 RICE MINE RD N, TUSCALOOSA, AL 35406-2314
(205) 752-4343
(205) 752-4347
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
AL 4470
AL
Other
Enumeration date
02/19/2007
Last updated
08/22/2020
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