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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

NPI # 1164796959
LBN Legal business name GLYNWOOD PARK DENTAL CARE
Authorized official SUSAN STEWART - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/27/2012
Last updated 02/27/2012 - About 14 years ago
Identifiers
AL License # 4029
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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