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Contact Information

SOUTHSIDE FAMILY & COSMETIC DENTISTRY, LLC
1745 HIGHWAY 77
SOUTHSIDE, AL35907-0169
 Phone: 256-442-1463
 Fax: 256-442-9821
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental Assistant

126800000X
 

Dental Hygienist

124Q00000X
Indicates primary specialty

NPI Profile & details for SOUTHSIDE FAMILY & COSMETIC DENTISTRY, LLC

NPI # 1346583457
LBN Legal business name SOUTHSIDE FAMILY & COSMETIC DENTISTRY, LLC
Authorized official DONNA JENNINGS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/27/2013
Last updated 03/27/2013 - About 13 years ago
Identifiers n/a
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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