Whalio Doctors

NPI 1124472956

Southlake Dental Care Management

Organisation Dentist Hoover, AL

Practice location

Address
4501 Southlake Pkwy, Hoover, AL 35244-3644
Phone
(205) 988-5656
Fax
(205) 988-3972

Authorised official

Name
Karol Medina Poczatek
Title
Dentist
Phone
(205) 988-5656

Registered specialties (7)

Dentist Primary
Dental Providers Taxonomy 122300000X Licence 5772 (AL)
Dentist
Dental Providers Taxonomy 122300000X Licence 3410 (AL)
Dentist
Dental Providers Taxonomy 122300000X Licence 4159 (AL)
Dentist
Dental Providers Taxonomy 122300000X Licence 5257 (AL)
Dentist
Dental Providers Taxonomy 122300000X Licence 51171 (AL)
Dentist
Dental Providers Taxonomy 122300000X Licence 6258 (AL)
Dentist
Dental Providers Taxonomy 122300000X Licence 5423 (AL)

Registry record

NPI
1124472956
Entity type
Organization
NPI issued
18 Apr 2016
Record last updated
18 Apr 2016

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.