Organization
HEADACHE & TMJ CENTER THERAPY OF THE SOUTHEAST LLC
Active
Organization
HEADACHE & TMJ CENTER THERAPY OF THE SOUTHEAST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACK BRENT MCFARLAND D.M.D (OWNER)
(334) 793-6060
Entity
Organization
Contact information
Practice address
1609 W MAIN ST, SUITE 201, DOTHAN, AL 36301-1362
(334) 793-6060
(334) 836-0199
Mailing address
1609 W MAIN ST, SUITE 201, DOTHAN, AL 36301-1362
(334) 793-6060
(334) 836-0199
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3054
AL
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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