Organization
CGF DDS PC
Active
Organization
CGF DDS PC
Active
Parent organization
CGF DDS PC
Other names
Bailey Cove Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CGF DDS PC
Authorized official
DR. CLIFTON FRAZIER JR. DDS (PRESIDENT)
(256) 650-0724
Entity
Organization
Contact information
Practice address
10300 BAILEY COVE RD SE, STE 4, HUNTSVILLE, AL 35803-2635
(256) 650-0724
(256) 650-0872
Mailing address
10300 BAILEY COVE RD SE, STE 4, HUNTSVILLE, AL 35803-2635
(256) 650-0724
(256) 650-0872
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/06/2010
Last updated
07/10/2019
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