| Genesis Dental Group Brierfield Pc | |
|
19330 Highway 139 Brierfield AL 35035-3658 | |
| (205) 665-2723 | |
| (205) 665-1037 |
| Full Name | Genesis Dental Group Brierfield Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 19330 Highway 139, Brierfield, Alabama |
| Authorized Official Name and Position | Susan M Stewart (OFFICE MANAGER) |
| Authorized Official Contact | 3342812451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genesis Dental Group Brierfield Pc 19330 Highway 139 Brierfield AL 35035-3658 Ph: (205) 665-2723 | Genesis Dental Group Brierfield Pc 19330 Highway 139 Brierfield AL 35035-3658 Ph: (205) 665-2723 |
| NPI Number | 1760835078 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 07/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760835078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
S.m. Mahan L.l.c Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19330 Highway 139, Brierfield, AL 35035 Phone: 205-665-2723 Fax: 205-665-1037 |