Organization · Type 2 NPI
Secd Chickasaw
Dental Clinic/Center · Chickasaw, AL
NPI number
1619489671
Active
Practice location
457 N Craft Hwy
Chickasaw, AL 36611-1364
Mailing address
4320 Montevallo Rd
Mountain Brk, AL 35213-2722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Chickasaw
About NPI 1619489671
Secd Chickasaw's National Provider Identifier is 1619489671, issued on Oct 31, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chickasaw, AL. The record was last updated on Oct 31, 2017.