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Alabama Dental Professionals PC

Organization Active NPI Dentist · Scottsboro, AL

NPI 1851697643 · NPPES record last updated Nov 8, 2019

Key facts

NPI
1851697643
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
4762 (AL)
Legal business name
ALABAMA DENTAL PROFESSIONALS PC
Practice address
1202 S Broad St
Scottsboro, AL 35768-2512
Phone
(256) 259-5955
Fax
(256) 259-5954
NPI assigned
Jan 27, 2011
Organization subpart
Yes
Parent organization (as reported)
ALABAMA DENTAL PROFESSIONALS PC

Authorized official

Name
Kim Zuber
Title
Cred Sup
Phone
(217) 540-5170

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Alabama Dental Professionals PC (21 organizations share this tax ID)
Part of
Alabama Dental Professionals PC

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP		 122300000X 4762 AL Yes
Customized Equipment (DME) 332BC3200X 4762 AL

Addresses

Primary practice location

1202 S Broad St
Scottsboro, AL 35768-2512

Mailing address

1202 S Broad St
Scottsboro, AL 35768-2512
Phone (256) 259-5955

Other names

  • Broad Street Dental Care Doing business as

Other providers in Scottsboro, AL

All providers in Scottsboro, AL · Dentist in Alabama

Sources for this page

Verify at the official NPI Registry.