| Elevate Pediatric Dentistry Llc | |
|
25265 Highway 181 Ste 105 Daphne AL 36526-6077 | |
| (801) 636-2824 | |
| Not Available |
| Full Name | Elevate Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 25265 Highway 181 Ste 105, Daphne, Alabama |
| Authorized Official Name and Position | Gage Williams (OWNER/OPERATOR) |
| Authorized Official Contact | 8016362824 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Pediatric Dentistry Llc 344 Nandina Loop Fairhope AL 36532-7909 Ph: (801) 636-2824 | Elevate Pediatric Dentistry Llc 25265 Highway 181 Ste 105 Daphne AL 36526-6077 Ph: (801) 636-2824 |
| NPI Number | 1104697838 |
|---|---|
| Provider Enumeration Date | 01/11/2024 |
| Last Update Date | 01/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104697838 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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