Alexandra Dental Llc | |
654 Valley Cub Dr Alexandria AL 36250-4200 | |
(256) 847-1111 | |
Not Available |
Full Name | Alexandra Dental Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 654 Valley Cub Dr, Alexandria, Alabama |
Authorized Official Name and Position | Brant Haynie (DENTIST) |
Authorized Official Contact | 2054670387 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Alexandra Dental Llc 654 Valley Cub Dr Alexandria AL 36250-4200 Ph: () - | Alexandra Dental Llc 654 Valley Cub Dr Alexandria AL 36250-4200 Ph: (256) 847-1111 |
NPI Number | 1194227090 |
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Provider Enumeration Date | 03/06/2018 |
Last Update Date | 03/06/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194227090 | NPI | - | NPPES |
171653 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (Alabama) | Primary |
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› Verified 8 days ago
Hartzog Dental, P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 654 Valley Cub Dr, Alexandria, AL 36250 Phone: 256-847-1111 |