Organization · Type 2 NPI

Ld-Northport, LLC

Dental Clinic/Center · Tuscaloosa, AL

NPI number 1114634730 Active

Practice location

1100 Fairfax Park
Tuscaloosa, AL 35406-2809

Fax (205) 752-3570

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

3 other providers at this address

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NPI record

NPI: 1114634730
Entity type: Organization (Type 2)
Issued: Nov 2, 2022
Last updated: Jul 3, 2023
Status: Active

Other names

<unavail>
North River Dental · doing business as
Jack Smalley, Jr., D.m.d., P.c. · former legal business name
North River Dental Associates, P.c. · former legal business name
North River Dental Associates, P.c. · former legal business name

Authorized official

Lauren S Daigneault, BA, MA
Admin Director
(256) 783-9468

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About NPI 1114634730

Ld-Northport, LLC's National Provider Identifier is 1114634730, issued on Nov 2, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Tuscaloosa, AL. The record was last updated on Jul 3, 2023.