Healthcare Provider Details

I. General information

NPI: 1497178503
Provider Name (Legal Business Name): DENTON DENTAL OF ARAB PC DBA SAVE-ON DENTAL CARE OF ARAB
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2014
Last Update Date: 01/24/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1178 N BRINDLEE MOUNTAIN PKWY
ARAB AL
35016-1063
US

IV. Provider business mailing address

1178 N BRINDLEE MOUNTAIN PKWY
ARAB AL
35016-1063
US

V. Phone/Fax

Practice location:
  • Phone: 256-586-3117
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223E0200X
TaxonomyEndodontics
License Number4502
License Number StateAL

VIII. Authorized Official

Name: JONATHAN DENTON
Title or Position: DMD/OWNER
Credential:
Phone: 251-580-0979