Etherton Family Dentistry PC
Organization Active NPI Dental Clinic/Center · Valley, AL
NPI 1942809355 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1942809355
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- ETHERTON FAMILY DENTISTRY PC
- Practice address
- 6 Medical Park
Valley, AL 36854-3665 - Phone
- (334) 756-4178
- Fax
- (334) 756-5884
- NPI assigned
- Oct 19, 2020
- Organization subpart
- No
Authorized official
- Name
- Dr. Jason Anthony Etherton, DMD
- Title
- President
- Phone
- (334) 756-4178
Practitioners 1
-
Jason Anthony Etherton, D.M.D.
National Provider Directory
Locations
6 Medical Park
Valley, AL 36854
Phone (334) 756-4178
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
6 Medical Park
Valley, AL 36854-3665
Mailing address
6 Medical Park
Valley, AL 36854-3665
Phone (334) 756-4178
Other providers in Valley, AL
- East Alabama Water, Sewer, & Fire Protection District
- Emergency Medical Specialist
- Emergency Staffing Solutions Inc
- Encore Rehabilitation Inc
- Enrique Duprat MD PC
- Carla A Etherton Moore
- Jason Anthony Etherton
- David G Fagan
- FDC Inc
- FDC, Inc
All providers in Valley, 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 19, 2020. 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.