| Etherton Family Dentistry Pc | |
|
6 Medical Park Valley AL 36854-3665 | |
| (334) 756-4178 | |
| (334) 756-5884 |
| Full Name | Etherton Family Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 6 Medical Park, Valley, Alabama |
| Authorized Official Name and Position | Jason Anthony Etherton (PRESIDENT) |
| Authorized Official Contact | 3347564178 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Etherton Family Dentistry Pc 6 Medical Park Valley AL 36854-3665 Ph: (334) 756-4178 | Etherton Family Dentistry Pc 6 Medical Park Valley AL 36854-3665 Ph: (334) 756-4178 |
| NPI Number | 1942809355 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 10/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942809355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Valley Family Dentistry,p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 16 Medical Park, Valley, AL 36854 Phone: 334-756-2118 Fax: 334-756-6651 |