NPI 1114321643

Marble City Pediatric Dentistry

Organisation Preferred Provider Organization Sylacauga, AL

Practice location

Address: 1039 W Fort Williams St, Sylacauga, AL 35150-2301
Phone: (256) 245-1399
Fax: (205) 408-8187

Authorised official

Name: Jonathan C Curtis
Title: Dentist
Phone: (256) 245-1399

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 5263 (AL)

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Registry record

NPI: 1114321643
Entity type: Organization
NPI issued: 13 Oct 2014
Record last updated: 13 Oct 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.