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Contact Information

VALLEY DENTAL IMPLANT CENTER LLC
921 SOUTH BROAD ST
SCOTTSBORO, AL35768
 Phone: 256-259-1404
 Fax: 256-259-2042
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for VALLEY DENTAL IMPLANT CENTER LLC

NPI Number 1588733299
LBN Legal business name VALLEY DENTAL IMPLANT CENTER LLC
Authorized official WAYNE PATTERSON - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/07/2006
Last updated 06/11/2015 - About 11 years ago
Identifiers
AL License # 03792
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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