| Daphne Pediatric Dentistry Inc | |
|
7058 Professional Place Daphne AL 36526 | |
| (251) 447-0627 | |
| (251) 447-0639 |
| Full Name | Daphne Pediatric Dentistry Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7058 Professional Place, Daphne, Alabama |
| Authorized Official Name and Position | Harold Todd Chambliss (PEDIATRIC DENTIST) |
| Authorized Official Contact | 2514470627 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daphne Pediatric Dentistry Inc 7058 Professional Place Daphne AL 36526 Ph: (251) 447-0627 | Daphne Pediatric Dentistry Inc 7058 Professional Place Daphne AL 36526 Ph: (251) 447-0627 |
| NPI Number | 1841374899 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841374899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4830 (Alabama) | Primary |
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