Premiere Dental Spa at Madison
Premiere Dental Spa at Madison is a Dental Clinic/Center in Madison, Alabama. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
102 St Louis St Ste DMadison, AL 35758-8028
Phone: (256) 469-6428
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X |
|---|
Record details
| NPI number | 1659017838 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Premiere Dental |
| Authorized official | Teneshia Daniels — Owner · (256) 469-6428 |
| NPI enumerated | May 10, 2022 |
| Last updated in NPPES | May 10, 2022 |
| Certification date | May 10, 2022 |
| Mailing address | 102 St Louis St Ste D, Madison, AL 35758-8028 |
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