NPI 1962793893

Dandridge Dental PC

Organisation Exclusive Provider Organization Dothan, AL

Practice location

Address: 1435 Ross Clark Cir Suite A-1, Dothan, AL 36301-4744
Phone: (334) 699-2220
Fax: (334) 699-2223

Authorised official

Name: Michelle Nicole Dandridge
Title: Owner
Phone: (334) 699-2220

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5492 (AL)

Other Exclusive Provider Organization providers in Alabama →

Registry record

NPI: 1962793893
Entity type: Organization
NPI issued: 26 Apr 2011
Record last updated: 26 Apr 2011

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.