NPI 1184935959

Madison Pediatric Dentistry LLC

Organisation Pediatric Dentistry Madison, AL

Practice location

Address: 7559 Highway 72 W Suite C7/C8, Madison, AL 35758-8811
Phone: (256) 527-4590
Fax: (256) 890-4293
Mailing address: 7559 Highway 72 W, Madison, AL 35758-8811

Authorised official

Name: Wesley Moffett
Title: Member
Phone: (205) 792-0003

Registered specialties

Pediatric Dentistry Primary

Dental Providers Taxonomy 1223P0221X

Other Dentist providers in Alabama →

Registry record

NPI: 1184935959
Entity type: Organization
NPI issued: 27 Jun 2010
Record last updated: 15 Apr 2013

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.