Southside Family & Cosmetic Dentistry, LLC
Organization Active NPI General Practice Dentistry · Southside, AL
NPI 1346583457 · NPPES record last updated Mar 27, 2013
Key facts
- NPI
- 1346583457
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- SOUTHSIDE FAMILY & COSMETIC DENTISTRY, LLC
- Practice address
- 1745 Highway 77
Southside, AL 35907-0169 - Phone
- (256) 442-1463
- Fax
- (256) 442-9821
- NPI assigned
- Mar 27, 2013
- Organization subpart
- No
Authorized official
- Name
- Donna Jennings
- Title
- Office Manager
- Phone
- (256) 442-1463
Practitioners 1
-
Jeffrey Watson Taylor, D.M.D.
National Provider Directory
Locations
1745 Highway 77
Southside, AL 35907
Phone (256) 442-1463
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | Yes | ||
| Dental Hygienist |
124Q00000X | |||
| Dental Assistant |
126800000X |
Addresses
Primary practice location
1745 Highway 77
Southside, AL 35907-0169
Mailing address
1745 Highway 77
Southside, AL 35907-0169
Phone (256) 442-1463
Other providers in Southside, AL
- Angela Marie Pate
- Donna Perez
- Samantha Kelly Richardson
- James Robinson
- Julian Robledo
- Southside Family Medicine, Inc.
- Southside Family Pharmacy Inc
- Southside Pediatrics, LLC
- Benjamin Spellman
- Jeffrey Watson Taylor
All providers in Southside, AL · General Practice Dentistry in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.