| Rocket City Kids Pediatric Dentistry, Llc | |
|
1105 Gleneagles Dr Sw Huntsville AL 35801-6405 | |
| (256) 882-2466 | |
| (256) 882-2402 |
| Full Name | Rocket City Kids Pediatric Dentistry, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1105 Gleneagles Dr Sw, Huntsville, Alabama |
| Authorized Official Name and Position | Whitney O. Shelton (DENTIST) |
| Authorized Official Contact | 2568822466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rocket City Kids Pediatric Dentistry, Llc 1105 Gleneagles Dr Sw Huntsville AL 35801-6405 Ph: (256) 882-2466 | Rocket City Kids Pediatric Dentistry, Llc 1105 Gleneagles Dr Sw Huntsville AL 35801-6405 Ph: (256) 882-2466 |
| NPI Number | 1164844718 |
|---|---|
| Provider Enumeration Date | 01/16/2014 |
| Last Update Date | 01/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164844718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4127 (Alabama) | Primary |
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