| Madison Pediatric Dentistry Llc | |
|
7559 Highway 72 W Suite C7/c8 Madison AL 35758-8811 | |
| (256) 527-4590 | |
| (256) 890-4293 |
| Full Name | Madison Pediatric Dentistry Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7559 Highway 72 W, Madison, Alabama |
| Authorized Official Name and Position | Wesley Moffett (MEMBER) |
| Authorized Official Contact | 2057920003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Madison Pediatric Dentistry Llc 7559 Highway 72 W Madison AL 35758-8811 Ph: (256) 527-4590 | Madison Pediatric Dentistry Llc 7559 Highway 72 W Suite C7/c8 Madison AL 35758-8811 Ph: (256) 527-4590 |
| NPI Number | 1184935959 |
|---|---|
| Provider Enumeration Date | 06/27/2010 |
| Last Update Date | 04/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184935959 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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