| Patriot Dental Snead Llc | |
|
88223 Us Highway 278 Snead AL 35952-9643 | |
| (205) 466-7188 | |
| (205) 466-8188 |
| Full Name | Patriot Dental Snead Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 88223 Us Highway 278, Snead, Alabama |
| Authorized Official Name and Position | Kenneth Luckie Vandervoort (OWNER) |
| Authorized Official Contact | 2054667188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patriot Dental Snead Llc Po Box 627 Snead AL 35952-0627 Ph: (205) 466-7188 | Patriot Dental Snead Llc 88223 Us Highway 278 Snead AL 35952-9643 Ph: (205) 466-7188 |
| NPI Number | 1083445571 |
|---|---|
| Provider Enumeration Date | 08/08/2024 |
| Last Update Date | 08/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083445571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |