| Dutton Dental, Llc | |
|
106 Bowdock Dr Madison AL 35756-3995 | |
| (256) 325-1290 | |
| Not Available |
| Full Name | Dutton Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 106 Bowdock Dr, Madison, Alabama |
| Authorized Official Name and Position | Ethan Clay Dutton (OWNER) |
| Authorized Official Contact | 8032465344 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dutton Dental, Llc 115 Rainbow Dr Madison AL 35758-8224 Ph: (803) 246-5344 | Dutton Dental, Llc 106 Bowdock Dr Madison AL 35756-3995 Ph: (256) 325-1290 |
| NPI Number | 1093521379 |
|---|---|
| Provider Enumeration Date | 12/10/2024 |
| Last Update Date | 03/04/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093521379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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