| North Jackson Dental Care | |
|
105 Adams Street Stevenson AL 35772 | |
| (256) 437-2191 | |
| (256) 437-1066 |
| Full Name | North Jackson Dental Care |
|---|---|
| Speciality | Dentist |
| Location | 105 Adams Street, Stevenson, Alabama |
| Authorized Official Name and Position | Stephen Scott Shepherd (DR PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 2564372191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Jackson Dental Care 105 Adams Street Stevenson AL 35772 Ph: (256) 437-2191 | North Jackson Dental Care 105 Adams Street Stevenson AL 35772 Ph: (256) 437-2191 |
| NPI Number | 1659456879 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659456879 | NPI | - | NPPES |
| 3093026 | Other | TN | BLUE CROSS BLUE SHIELD |
| 595965 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3796 (Alabama) | Primary |
Dr. Clyde Butler, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 43200 Us Highway 72, Stevenson, AL 35772 Phone: 256-437-2158 Fax: 256-437-2230 | |
Holland Family Dentistry, Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 Shannon Drive, Stevenson, AL 35772 Phone: 256-609-3247 | |
Stevenson Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 43200 Us Highway 72, Stevenson, AL 35772 Phone: 256-437-2158 Fax: 256-437-2230 | |
Alabama Dental Professionals Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Adams St, Stevenson, AL 35772 Phone: 256-437-2191 Fax: 256-437-1066 |