| Brocks Gap Dental Group, Llc | |
|
1015 Brocks Gap Pkwy Hoover AL 35244-4032 | |
| (205) 982-0112 | |
| Not Available |
| Full Name | Brocks Gap Dental Group, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1015 Brocks Gap Pkwy, Hoover, Alabama |
| Authorized Official Name and Position | Joey West (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 2059820112 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brocks Gap Dental Group, Llc 1015 Brocks Gap Pkwy Hoover AL 35244-4032 Ph: (205) 982-0112 | Brocks Gap Dental Group, Llc 1015 Brocks Gap Pkwy Hoover AL 35244-4032 Ph: (205) 982-0112 |
| NPI Number | 1134787260 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/04/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134787260 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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