| Satsuma Family Dental Pc | |
|
5651 Highway 43 Satsuma AL 36572-2115 | |
| (251) 679-9428 | |
| Not Available |
| Full Name | Satsuma Family Dental Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5651 Highway 43, Satsuma, Alabama |
| Authorized Official Name and Position | Diana Tedder (OWNER) |
| Authorized Official Contact | 2516799428 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Satsuma Family Dental Pc 5651 Highway 43 Satsuma AL 36572-2115 Ph: (251) 679-9428 | Satsuma Family Dental Pc 5651 Highway 43 Satsuma AL 36572-2115 Ph: (251) 679-9428 |
| NPI Number | 1730725045 |
|---|---|
| Provider Enumeration Date | 11/21/2019 |
| Last Update Date | 07/29/2021 |
| Medicare PECOS PAC ID | 3678903788 |
|---|---|
| Medicare Enrollment ID | O20200413002996 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730725045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
| 332BC3200X | Durable Medical Equipment & Medical Supplies - Customized Equipment | (* (Not Available)) | Secondary |