| Madison Dental Center L.l.c. | |
|
8097 Madison Blvd Ste.107 Madison AL 35758 | |
| (256) 774-7228 | |
| (256) 774-2777 |
| Full Name | Madison Dental Center L.l.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8097 Madison Blvd, Madison, Alabama |
| Authorized Official Name and Position | Jason Selman (OWNER) |
| Authorized Official Contact | 2567747228 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Dental Center L.l.c. 8097 Madison Blvd Ste.107 Madison AL 35758 Ph: (256) 774-7228 | Madison Dental Center L.l.c. 8097 Madison Blvd Ste.107 Madison AL 35758 Ph: (256) 774-7228 |
| NPI Number | 1306931878 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306931878 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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