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CECIL RILEY DORSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
910 GOODYEAR AVE, GADSDEN, AL 35903-1107
(256) 492-6363
(256) 492-0047
Mailing address
910 GOODYEAR AVE, GADSDEN, AL 35903-1107
(256) 492-6363
(256) 492-0047

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3581
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
3581
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
051500515
AL
01
515-00515
BLUE CROSS BLUE SHIELD
AL
Enumeration date
02/22/2007
Last updated
10/17/2013
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