Southside Family & Cosmetic Dentistry, Llc is a dental clinic (Dentist - General Practice) in Southside, Alabama. The current practice location for Southside Family & Cosmetic Dentistry, Llc is 1745 Highway 77, Southside, Alabama. For appointments, you can reach them via phone at
(256) 442-1463. The mailing address for Southside Family & Cosmetic Dentistry, Llc is 1745 Highway 77, Southside, Alabama and phone number is (256) 442-1463.
Southside Family & Cosmetic Dentistry, Llc is licensed to practice in * (Not Available) (license number ) and its
NPI number is 1346583457. This medical practice
does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at
(256) 442-1463.
Dental Care Clinic Profile
| Full Name | Southside Family & Cosmetic Dentistry, Llc |
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| Speciality | Dentist - General Practice |
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| Location | 1745 Highway 77, Southside, Alabama |
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| Authorized Official Name and Position | Donna Jennings (OFFICE MANAGER) |
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| Authorized Official Contact | 2564421463 |
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| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
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Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Southside Family & Cosmetic Dentistry, Llc
1745 Highway 77
Southside
AL 35907-0169
Ph: (256) 442-1463 | Southside Family & Cosmetic Dentistry, Llc
1745 Highway 77
Southside
AL 35907-0169
Ph: (256) 442-1463 |
NPI Details:
| NPI Number | 1346583457 |
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| Provider Enumeration Date | 03/27/2013 |
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| Last Update Date | 03/27/2013 |
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Medical Identifiers
Medical identifiers for Southside Family & Cosmetic Dentistry, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1346583457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 124Q00000X | Dental Hygienist | (* (Not Available)) | Secondary |
| 126800000X | Dental Assistant | (* (Not Available)) | Secondary |
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