| Kdentistry26 Llc | |
|
403 N Gilmer Ave Ste B Lanett AL 36863-2053 | |
| (334) 623-0180 | |
| (334) 623-0190 |
| Full Name | Kdentistry26 Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 403 N Gilmer Ave Ste B, Lanett, Alabama |
| Authorized Official Name and Position | Young Do Kim (MEMBER) |
| Authorized Official Contact | 4046415993 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kdentistry26 Llc 403 N Gilmer Ave Ste B Lanett AL 36863-2053 Ph: (334) 623-0180 | Kdentistry26 Llc 403 N Gilmer Ave Ste B Lanett AL 36863-2053 Ph: (334) 623-0180 |
| NPI Number | 1356016059 |
|---|---|
| Provider Enumeration Date | 08/13/2021 |
| Last Update Date | 08/13/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356016059 | NPI | - | NPPES |
| 1841892247 | Other | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Smile Design Center Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1601 South Gilmer Ave., Lanett, AL 36863 Phone: 334-644-2422 Fax: 334-644-4575 | |
Collins Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2105 Broad Ave, Ste E, Lanett, AL 36863 Phone: 334-642-2200 |