PROSTHODONTICS DENTAL LABORATORY, INC.; NPI #1245407154

Contact Information

PROSTHODONTICS DENTAL LABORATORY, INC.

2227 DRAKE AVE SW
SUITE 10E
HUNTSVILLE, AL 35805-5199

Phone: 256-880-7414
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Dental Laboratory	292200000X

Indicates primary specialty

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NPI Profile & details for PROSTHODONTICS DENTAL LABORATORY, INC.

NPI Number 1245407154

LBN Legal business name PROSTHODONTICS DENTAL LABORATORY, INC.

Authorized official ROBERT MCCRACKEN - (OWNER/MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/09/2008

Last updated 05/09/2008 - About 18 years ago

Identifiers

License #

001448

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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PROSTHODONTICS DENTAL LABORATORY, INC.

Contact Information

Specialty

Dental Laboratory

NPI Profile & details for PROSTHODONTICS DENTAL LABORATORY, INC.

Reviews for PROSTHODONTICS DENTAL LABORATORY, INC.