Organization
KELLEN A. SPIVEY DENTAL SERVICES, LLC
Active
Other names
Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEN SPIVEY D.M.D. (OWNER)
(256) 820-4821
Entity
Organization
Contact information
Practice address
6118 MCCLELLAN BLVD, ANNISTON, AL 36206-8403
(256) 820-4821
(256) 820-2219
Mailing address
6118 MCCLELLAN BLVD, ANNISTON, AL 36206-8403
(256) 820-4821
(256) 820-2219
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL5704
AL
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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