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Contact Information

GLYNWOOD PARK DENTAL CARE
1831 GLYNWOOD DRIVE
PRATTVILLE, AL36066
 Phone: 334-396-9001
 Fax: 334-281-2451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GLYNWOOD PARK DENTAL CARE · (Female)

NPI # 1164796959
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2012
Last updated 02/27/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • AL License # 4029
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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