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Organization

DANDRIDGE DENTAL PC

Active
Other names
Dandridge Dental Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHELLE NICOLE DANDRIDGE DMD (OWNER)
(334) 699-2220
Entity
Organization

Contact information

Practice address
1435 ROSS CLARK CIR, SUITE A-1, DOTHAN, AL 36301-4744
(334) 699-2220
(334) 699-2223
Mailing address
1435 ROSS CLARK CIR, SUITE A-1, DOTHAN, AL 36301-4744
(334) 699-2220
(334) 699-2223

Taxonomy

Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
5492
AL

Other

Enumeration date
04/26/2011
Last updated
04/26/2011
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