| Timberland Dental, Pc | |
|
301 E 1st St Bay Minette AL 36507-4029 | |
| (251) 580-0979 | |
| (251) 580-0971 |
| Full Name | Timberland Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 301 E 1st St, Bay Minette, Alabama |
| Authorized Official Name and Position | Harry Huger Houston (PRESIDENT/OWNER) |
| Authorized Official Contact | 2515800979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Timberland Dental, Pc 301 E 1st St Bay Minette AL 36507-4029 Ph: (251) 580-0979 | Timberland Dental, Pc 301 E 1st St Bay Minette AL 36507-4029 Ph: (251) 580-0979 |
| NPI Number | 1801105556 |
|---|---|
| Provider Enumeration Date | 09/29/2010 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801105556 | NPI | - | NPPES |
| 515-38527 | Other | AL | BC/BS |
| 009931835 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5114 (Alabama) | Primary |
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› Verified 4 days ago
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