Secd Chickasaw
Organization Active NPI Dental Clinic/Center · Chickasaw, AL
NPI 1619489671 · NPPES record last updated Oct 31, 2017
Key facts
- NPI
- 1619489671
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- SECD CHICKASAW
- Practice address
- 457 N Craft Hwy
Chickasaw, AL 36611-1364 - Phone
- (251) 456-8406
- NPI assigned
- Oct 31, 2017
- Organization subpart
- No
Authorized official
- Name
- Heather Brittany McDonald
- Title
- Regional Director
- Phone
- (205) 434-7115
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
457 N Craft Hwy
Chickasaw, AL 36611-1364
Mailing address
4320 Montevallo Rd
Mountain BRK, AL 35213-2722
Phone (205) 434-7115
Other providers in Chickasaw, AL
- Lillian Transport LLC
- Taylor McMillion
- Ralph Vernell Nichols
- Positive Behavior Support
- Rapid Diagnostic Solutions LLC
- Ronald Edward Steed
- Keesha Taylor
- Walgreen Co
All providers in Chickasaw, AL · Dental Clinic/Center in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 31, 2017. 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.