| Dixieland Dental | |
|
15622 S. Us Hwy 231 Midland City AL 36350 | |
| (334) 983-3558 | |
| (334) 983-3255 |
| Full Name | Dixieland Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15622 S. Us Hwy 231, Midland City, Alabama |
| Authorized Official Name and Position | Michael Carl Precise (OWNER) |
| Authorized Official Contact | 3349833558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dixieland Dental Po Box 695 Midland City AL 36350-0695 Ph: (334) 983-3558 | Dixieland Dental 15622 S. Us Hwy 231 Midland City AL 36350 Ph: (334) 983-3558 |
| NPI Number | 1740428937 |
|---|---|
| Provider Enumeration Date | 01/27/2009 |
| Last Update Date | 01/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740428937 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | LNO3358 (Alabama) | Primary |