| Ingram Dental Clinic P.c. | |
|
207 Rome Ave Piedmont AL 36272-1919 | |
| (256) 447-6071 | |
| (256) 447-6077 |
| Full Name | Ingram Dental Clinic P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 207 Rome Ave, Piedmont, Alabama |
| Authorized Official Name and Position | Benjamin B. Ingram (PRESIDENT) |
| Authorized Official Contact | 2564476071 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ingram Dental Clinic P.c. 207 Rome Ave Piedmont AL 36272-1919 Ph: (256) 447-6071 | Ingram Dental Clinic P.c. 207 Rome Ave Piedmont AL 36272-1919 Ph: (256) 447-6071 |
| NPI Number | 1891954970 |
|---|---|
| Provider Enumeration Date | 06/04/2008 |
| Last Update Date | 06/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891954970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3942 (Alabama) | Primary |
Piedmont Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 114 W Ladiga St, Piedmont, AL 36272 Phone: 256-447-7844 |