NPI 1336456771

Derek J Doss DMD LLC

Organisation Exclusive Provider Organization Calera, AL

Practice location

Address: 90 Marketplace Cir Suite a, Calera, AL 35040-8200
Phone: (205) 238-1345
Mailing address: 56 Calera Market Place Circle, Calera, AL 35040

Authorised official

Name: Derek Doss
Title: Member Manager
Phone: (205) 238-1345

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5765 (AL)

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Registry record

NPI: 1336456771
Entity type: Organization
NPI issued: 7 Sep 2010
Record last updated: 7 Sep 2010

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.