Organization · Type 2 NPI
Over the Mountain Dentistry LLC
Dental Clinic/Center · Mountain Brk, AL
NPI number
1104435015
Active
Practice location
3507 Rockcliff Cir
Mountain Brk, AL 35210-3030
Mailing address
2850 Cahaba Rd Ste 140
Mountain Brk, AL 35223-2345
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1104435015
Over the Mountain Dentistry LLC's National Provider Identifier is 1104435015, issued on Jul 27, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Mountain Brk, AL. The record was last updated on Sep 4, 2024.