| Hickory Hills Dental Care | |
|
1947 Florence Blvd Florence AL 35630-2729 | |
| (256) 766-8800 | |
| (256) 766-8936 |
| Full Name | Hickory Hills Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1947 Florence Blvd, Florence, Alabama |
| Authorized Official Name and Position | Stacey L Evans (OFFICE CORDINATOR) |
| Authorized Official Contact | 2567668800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hickory Hills Dental Care 1947 Florence Blvd Florence AL 35630-2729 Ph: (256) 766-8800 | Hickory Hills Dental Care 1947 Florence Blvd Florence AL 35630-2729 Ph: (256) 766-8800 |
| NPI Number | 1932467297 |
|---|---|
| Provider Enumeration Date | 04/24/2012 |
| Last Update Date | 04/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932467297 | NPI | - | NPPES |
| 0843054 | Other | UNITED CONCORDIA | |
| 515-38965 | Other | AL | BLUE CROSS BLUE SHIELD |
| 009947460 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3415 (Alabama) | Primary |
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