Northcutt Dental Practice | |
23678 Us Highway 98 Fairhope AL 36532-3336 | |
(251) 928-8770 | |
(251) 928-8724 |
Full Name | Northcutt Dental Practice |
---|---|
Speciality | Dentist - General Practice |
Location | 23678 Us Highway 98, Fairhope, Alabama |
Authorized Official Name and Position | John David Northcutt (PRESIDENT) |
Authorized Official Contact | 2519288770 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Northcutt Dental Practice 23678 Us Highway 98 Fairhope AL 36532-3336 Ph: (251) 928-8770 | Northcutt Dental Practice 23678 Us Highway 98 Fairhope AL 36532-3336 Ph: (251) 928-8770 |
NPI Number | 1295890515 |
---|---|
Provider Enumeration Date | 12/27/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295890515 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 4593 (Alabama) | Primary |
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