Big Wave Dentistry Llc | |
110 S Alston St Foley AL 36535-1912 | |
(251) 213-9820 | |
Not Available |
Full Name | Big Wave Dentistry Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 110 S Alston St, Foley, Alabama |
Authorized Official Name and Position | Bradley Joshua Hillman (DENTIST/OWNER) |
Authorized Official Contact | 5012317666 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Big Wave Dentistry Llc 635 Glen Eagles Ave Gulf Shores AL 36542-9036 Ph: () - | Big Wave Dentistry Llc 110 S Alston St Foley AL 36535-1912 Ph: (251) 213-9820 |
NPI Number | 1184251100 |
---|---|
Provider Enumeration Date | 03/27/2020 |
Last Update Date | 03/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184251100 | NPI | - | NPPES |
1447789045 | Other | AL | FFS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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