| Wiregrass Dental Center Llc | |
|
2 E Pointe Ct Enterprise AL 36330-1392 | |
| (334) 347-3061 | |
| Not Available |
| Full Name | Wiregrass Dental Center Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2 E Pointe Ct, Enterprise, Alabama |
| Authorized Official Name and Position | Jessica Nix Unterkofler (OWNER) |
| Authorized Official Contact | 3343473061 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiregrass Dental Center Llc 2 East Pointe Circle Enterprise AL 36330 Ph: (334) 347-3061 | Wiregrass Dental Center Llc 2 E Pointe Ct Enterprise AL 36330-1392 Ph: (334) 347-3061 |
| NPI Number | 1265956825 |
|---|---|
| Provider Enumeration Date | 07/26/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265956825 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 21381 (Alabama) | Primary |
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