Organization
DENTAL ASSOCIATES OF HAMPTON COVE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LORRIE BRACE GREEN DMD (DENTIST/ PARTNER OWNER)
(915) 217-8763
Entity
Organization
Contact information
Practice address
6838 HIGHWAY 431 S STE B, OWENS CROSS ROADS, AL 35763-7201
(256) 536-8120
(256) 536-8154
Mailing address
6838B HIGHWAY 431 S STE B, OWENS CROSS ROADS, AL 35763-9224
(256) 536-8120
(256) 536-8154
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D6202
AL
Other
Enumeration date
12/23/2017
Last updated
12/23/2017
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