| Huntsville Periodontal And Implant Specialists, Llc | |
|
7736 Madison Blvd Ste 2 Huntsville AL 35806-3658 | |
| (256) 289-8440 | |
| (256) 257-9808 |
| Full Name | Huntsville Periodontal And Implant Specialists, Llc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 7736 Madison Blvd Ste 2, Huntsville, Alabama |
| Authorized Official Name and Position | Britany Fabian Matin (DENTIST) |
| Authorized Official Contact | 2562898440 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntsville Periodontal And Implant Specialists, Llc 7736 Madison Blvd Ste 2 Huntsville AL 35806-3658 Ph: (256) 289-8440 | Huntsville Periodontal And Implant Specialists, Llc 7736 Madison Blvd Ste 2 Huntsville AL 35806-3658 Ph: (256) 289-8440 |
| NPI Number | 1578347365 |
|---|---|
| Provider Enumeration Date | 08/22/2023 |
| Last Update Date | 08/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578347365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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