| Coosa County Family Dentistry P.c. | |
|
Rr 2 Box 44 Rockford AL 35136-9507 | |
| (256) 377-4647 | |
| (256) 377-1430 |
| Full Name | Coosa County Family Dentistry P.c. |
|---|---|
| Speciality | Dentist |
| Location | Rr 2 Box 44, Rockford, Alabama |
| Authorized Official Name and Position | Dwayne Albritton (OWNER) |
| Authorized Official Contact | 2058799761 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coosa County Family Dentistry P.c. Po Box 660845 Birmingham AL 35266 Ph: (205) 879-9761 | Coosa County Family Dentistry P.c. Rr 2 Box 44 Rockford AL 35136-9507 Ph: (256) 377-4647 |
| NPI Number | 1023130234 |
|---|---|
| Provider Enumeration Date | 04/06/2007 |
| Last Update Date | 03/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023130234 | NPI | - | NPPES |
| 529922440 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4348 (Alabama) | Primary |