Organization · Type 2 NPI

Ld-Tuscaloosa, LLC

Dental Clinic/Center · Tuscaloosa, AL

NPI number 1841907466 Active

Practice location

1434 2nd Ct E
Tuscaloosa, AL 35401-3200

Fax (662) 586-2995

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

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NPI record

NPI: 1841907466
Entity type: Organization (Type 2)
Issued: Nov 2, 2022
Last updated: Jul 3, 2023
Status: Active

Other names

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Forest Lake Dental · doing business as
New Image Family Dentistry, LLC · former legal business name
Rodney L. Goins, Dmd, P.c. · former legal business name

Authorized official

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

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About NPI 1841907466

Ld-Tuscaloosa, LLC's National Provider Identifier is 1841907466, 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.