| Secd Tallassee Llc | |
|
1608 Gilmer Ave Tallassee AL 36078-2314 | |
| () - | |
| Not Available |
| Full Name | Secd Tallassee Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1608 Gilmer Ave, Tallassee, Alabama |
| Authorized Official Name and Position | Sara Northcutt (OWNER) |
| Authorized Official Contact | 6153194918 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Secd Tallassee Llc 1040 Natchez Valley Ln Franklin TN 37064-4704 Ph: () - | Secd Tallassee Llc 1608 Gilmer Ave Tallassee AL 36078-2314 Ph: () - |
| NPI Number | 1295264141 |
|---|---|
| Provider Enumeration Date | 06/05/2017 |
| Last Update Date | 06/05/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295264141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 6397 (Alabama) | Primary |
Tallassee Family Dentistry Pcc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608b Gilmer Avenue, Tallassee, AL 36078 Phone: 334-283-8115 Fax: 334-283-2610 | |
John S Rose Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608b Gilmer Ave, Tallassee, AL 36078 Phone: 334-283-8115 | |
Three Lakes Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1619 Gilmer Ave, Tallassee, AL 36078 Phone: 334-252-9000 Fax: 334-252-9003 | |
Sam Coleman Dmd, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1608b Gilmer Ave, Tallassee, AL 36078 Phone: 334-799-2634 |