National Provider Identifier Database

MARBLE CITY PEDIATRIC DENTISTRY
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

MARBLE CITY PEDIATRIC DENTISTRY
1039 W FORT WILLIAMS ST
SYLACAUGA, AL35150-2301
Phone: 256-245-1399
Fax: 205-408-8187
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for MARBLE CITY PEDIATRIC DENTISTRY

NPI Number 1114321643
Legal business name
LBN
MARBLE CITY PEDIATRIC DENTISTRY
Authorized official JONATHAN CURTIS - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 10/13/2014
Last updated 10/13/2014 - About 12 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 5263
  • AL Medicaid: 009934268

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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