Individual
GREGORY MICHAEL SWEENEY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
9815 MILLWOOD CIR, DAPHNE, AL 36526-5450
(251) 454-5101
Mailing address
9815 MILLWOOD CIR, DAPHNE, AL 36526-5450
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5419
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51533772
BCBS
AL
01
—
51533773
BCBS
AL
05
—
631400177
—
AL
05
—
631411177
—
AL
Enumeration date
06/22/2006
Last updated
09/29/2008
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