NPI 1396063434

Smile Factory Wellness Dental Clinic INC

Organisation Health Maintenance Organization Meridianville, AL

Practice location

Address: 11808 Hwy 231 431 N, Meridianville, AL 35759-2126
Phone: (256) 828-1500
Fax: (256) 828-1515

Authorised official

Name: Ada L Frazier
Title: Owner
Phone: (256) 828-1500

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence DS4310 (AL)

Other Health Maintenance Organization providers in Alabama →

Registry record

NPI: 1396063434
Entity type: Organization
NPI issued: 13 May 2010
Record last updated: 13 May 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.