| Autauga Family Dental | |
|
1803 Station Dr Ste A Prattville AL 36066-5671 | |
| (334) 361-9880 | |
| Not Available |
| Full Name | Autauga Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1803 Station Dr Ste A, Prattville, Alabama |
| Authorized Official Name and Position | Zackery Ethan Eades (DOCTOR/OWNER) |
| Authorized Official Contact | 2059131969 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Autauga Family Dental 1803 Station Dr Ste A Prattville AL 36066-5671 Ph: (334) 361-9880 | Autauga Family Dental 1803 Station Dr Ste A Prattville AL 36066-5671 Ph: (334) 361-9880 |
| NPI Number | 1275429383 |
|---|---|
| Provider Enumeration Date | 06/16/2025 |
| Last Update Date | 06/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275429383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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