Dr. Dale E. Bolt Dentistry
Organization Active NPI Dentist · Hamilton, AL
NPI 1831370147 · NPPES record last updated Mar 3, 2009
Key facts
- NPI
- 1831370147
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 3147 (AL)
- Legal business name
- DR. DALE E. BOLT DENTISTRY
- Practice address
- 1760 Military Hwy So.
Hamilton, AL 35570-0820 - Phone
- (205) 921-7806
- Fax
- (205) 921-7806
- NPI assigned
- Nov 15, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Dale Erskine Bolt, D.M.D.
- Title
- Owner
- Phone
- (205) 921-7806
Practitioners 2
-
Dale Erskine Bolt, DMD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 3147 | AL | Yes |
Addresses
Primary practice location
1760 Military Hwy So.
Hamilton, AL 35570-0820
Mailing address
PO Box 820
1760 Military Highway South
Hamilton, AL 35570-0820
Phone (205) 921-7806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009940088 | Medicaid | AL | |
| 009940089 | Medicaid | AL |
Other providers in Hamilton, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2009. 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.