| Rick Redmond Family Dentistry Inc. | |
|
101 S Douglas Ave Sylacauga AL 35150-2955 | |
| (256) 245-3645 | |
| (256) 245-3218 |
| Full Name | Rick Redmond Family Dentistry Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 S Douglas Ave, Sylacauga, Alabama |
| Authorized Official Name and Position | Albert Rick Redmond (OWNER/PRACTITIONER) |
| Authorized Official Contact | 2562453645 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rick Redmond Family Dentistry Inc. Po Box 1125 Sylacauga AL 35150-1125 Ph: (256) 245-3645 | Rick Redmond Family Dentistry Inc. 101 S Douglas Ave Sylacauga AL 35150-2955 Ph: (256) 245-3645 |
| NPI Number | 1942627252 |
|---|---|
| Provider Enumeration Date | 03/25/2014 |
| Last Update Date | 03/25/2014 |
| Medicare PECOS PAC ID | 0941423305 |
|---|---|
| Medicare Enrollment ID | O20140603002291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942627252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4599 (Alabama) | Primary |
| Provider Name | Albert R Redmond |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912026691 PECOS PAC ID: 7315123775 Enrollment ID: I20110519000228 |
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