Cardinal Dental Llc | |
442 Glover Ave Enterprise AL 36330 | |
(334) 347-6456 | |
(334) 393-3817 |
Full Name | Cardinal Dental Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 442 Glover Ave, Enterprise, Alabama |
Authorized Official Name and Position | Roger Worthington (OWNER) |
Authorized Official Contact | 3343476456 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cardinal Dental Llc P.o. Box 311870 Enterprise AL 36331 Ph: (334) 347-6456 | Cardinal Dental Llc 442 Glover Ave Enterprise AL 36330 Ph: (334) 347-6456 |
NPI Number | 1609993591 |
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Provider Enumeration Date | 03/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609993591 | NPI | - | NPPES |
1839862 | Other | AL | UNITED CONCORDIA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5323 (Alabama) | Primary |
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