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PIKE ROAD DENTAL, LLC

Dental

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Contact Information

PIKE ROAD DENTAL, LLC
31 BRIDGE ST
PIKE ROAD, AL  36064
 Phone: 334-819-7377
 Fax: 334-819-7379
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Dental

 261QD0000X
Indicates primary specialty

NPI Profile & details for PIKE ROAD DENTAL, LLC

NPI # 1053806331
LBN Legal business name PIKE ROAD DENTAL, LLC
Authorized official YOLANDA WALTERS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 06/28/2018
Last updated 07/09/2018 - About 8 years ago
Identifiers
AL License # 5159
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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