| Pike Road Dental, Llc | |
|
31 Bridge St Pike Road AL 36064 | |
| (334) 819-7377 | |
| (334) 819-7379 |
| Full Name | Pike Road Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 31 Bridge St, Pike Road, Alabama |
| Authorized Official Name and Position | Yolanda Walters (OFFICE MANAGER) |
| Authorized Official Contact | 3348197377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pike Road Dental, Llc 31 Bridge St Pike Road AL 36064-3843 Ph: (334) 819-7377 | Pike Road Dental, Llc 31 Bridge St Pike Road AL 36064 Ph: (334) 819-7377 |
| NPI Number | 1053806331 |
|---|---|
| Provider Enumeration Date | 06/28/2018 |
| Last Update Date | 07/09/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053806331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5159 (Alabama) | Primary |
Designer Smiles Dental Studio, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 11123 Chantilly Pkwy Ct, Suite I, Pike Road, AL 36064 Phone: 334-270-7751 Fax: 334-270-7741 |