| Jonathan Denton Dmd Pc | |
|
301 E 1st St Bay Minette AL 36507-4029 | |
| (251) 580-0979 | |
| (251) 580-0971 |
| Full Name | Jonathan Denton Dmd Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 301 E 1st St, Bay Minette, Alabama |
| Authorized Official Name and Position | Jonathan D. Denton (OWNER) |
| Authorized Official Contact | 2566651937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Denton Dmd Pc 301 E 1st St Bay Minette AL 36507-4029 Ph: (251) 580-0979 | Jonathan Denton Dmd Pc 301 E 1st St Bay Minette AL 36507-4029 Ph: (251) 580-0979 |
| NPI Number | 1558625376 |
|---|---|
| Provider Enumeration Date | 06/26/2012 |
| Last Update Date | 06/26/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558625376 | NPI | - | NPPES |
| 510-92654 | Other | AL | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5776 (Alabama) | Secondary |
| 1223E0200X | Dentist - Endodontics | 4502 (Alabama) | Primary |
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