Tooth Buds At Lagoon Park, Llc | |
553 N Eastern Blvd Montgomery AL 36117-2213 | |
(334) 801-9800 | |
(334) 801-9848 |
Full Name | Tooth Buds At Lagoon Park, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 553 N Eastern Blvd, Montgomery, Alabama |
Authorized Official Name and Position | J. David Stanley (MEMBER/OWNER) |
Authorized Official Contact | 3348019800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tooth Buds At Lagoon Park, Llc 553 N Eastern Blvd Montgomery AL 36117-2213 Ph: (334) 801-9800 | Tooth Buds At Lagoon Park, Llc 553 N Eastern Blvd Montgomery AL 36117-2213 Ph: (334) 801-9800 |
NPI Number | 1114392107 |
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Provider Enumeration Date | 12/02/2015 |
Last Update Date | 02/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114392107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5221 (Alabama) | Primary |
News Archive
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