| Thomasville Family Dentist, P. C. | |
|
325 Alabama Ave W Thomasville AL 36784-3105 | |
| (334) 636-2774 | |
| (334) 636-2799 |
| Full Name | Thomasville Family Dentist, P. C. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 325 Alabama Ave W, Thomasville, Alabama |
| Authorized Official Name and Position | Jeffrey R Stoudenmire (OWNER) |
| Authorized Official Contact | 3346362774 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thomasville Family Dentist, P. C. 325 Alabama Ave W Thomasville AL 36784-3105 Ph: (334) 636-2774 | Thomasville Family Dentist, P. C. 325 Alabama Ave W Thomasville AL 36784-3105 Ph: (334) 636-2774 |
| NPI Number | 1083039135 |
|---|---|
| Provider Enumeration Date | 02/26/2014 |
| Last Update Date | 02/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083039135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Randy P Walters, Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 632 W Front St N, Thomasville, AL 36784 Phone: 334-636-2713 |