Organization · Type 2 NPI

Aesthetic and Reconstructive Dentistry, LLC

Prosthodontics · Madison, AL

NPI number 1902297690 Active

Practice location

1041 Balch Rd, Suite 180
Madison, AL 35758-8343

Fax (256) 319-3257

Specialties and licenses

Taxonomy	Code	License
Prosthodontics Primary	1223P0700X	5928 (AL)
Dental Laboratory	292200000X	233720-00 (AL)

Prosthodontics: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

6 other providers at this address

NPI record

NPI: 1902297690
Entity type: Organization (Type 2)
Issued: Feb 17, 2015
Last updated: Feb 17, 2015
Status: Active

Other names

<unavail>
Madison Prosthodontics: Aesthetic and Reconstructive Dentistry, LLC · doing business as

Authorized official

Dr. Cramin Peter Wiltz, DMD, CDT
Sole Member
(256) 319-3256

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1902297690

Aesthetic and Reconstructive Dentistry, LLC's National Provider Identifier is 1902297690, issued on Feb 17, 2015. The primary taxonomy on file is Prosthodontics (1223P0700X), and the practice location is in Madison, AL. The record was last updated on Feb 17, 2015.