Cypress Creek Dental, Llc | |
3500 Cloverdale Rd Florence AL 35633-1302 | |
(256) 766-2606 | |
(256) 764-8502 |
Full Name | Cypress Creek Dental, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 3500 Cloverdale Rd, Florence, Alabama |
Authorized Official Name and Position | Tia Kennedy (OWNER) |
Authorized Official Contact | 2567662606 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cypress Creek Dental, Llc 3500 Cloverdale Rd Florence AL 35633-1302 Ph: () - | Cypress Creek Dental, Llc 3500 Cloverdale Rd Florence AL 35633-1302 Ph: (256) 766-2606 |
NPI Number | 1861731085 |
---|---|
Provider Enumeration Date | 02/07/2013 |
Last Update Date | 02/07/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861731085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5854 (Alabama) | Primary |
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