Elevate Pediatric Dentistry Llc | |
25265 Highway 181 Ste 105 Daphne AL 36526-6077 | |
(801) 636-2824 | |
Not Available |
Full Name | Elevate Pediatric Dentistry Llc |
---|---|
Speciality | Dentist - Pediatric Dentistry |
Location | 25265 Highway 181 Ste 105, Daphne, Alabama |
Authorized Official Name and Position | Gage Williams (OWNER/OPERATOR) |
Authorized Official Contact | 8016362824 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Elevate Pediatric Dentistry Llc 344 Nandina Loop Fairhope AL 36532-7909 Ph: (801) 636-2824 | Elevate Pediatric Dentistry Llc 25265 Highway 181 Ste 105 Daphne AL 36526-6077 Ph: (801) 636-2824 |
NPI Number | 1104697838 |
---|---|
Provider Enumeration Date | 01/11/2024 |
Last Update Date | 01/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104697838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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