Healthcare Provider Details

I. General information

NPI: 1285568501
Provider Name (Legal Business Name): JARROD NALER DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2026
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2729 ROSS CLARK CIR
DOTHAN AL
36301-3214
US

IV. Provider business mailing address

2729 ROSS CLARK CIR
DOTHAN AL
36301-3214
US

V. Phone/Fax

Practice location:
  • Phone: 334-943-4408
  • Fax:
Mailing address:
  • Phone: 334-943-4408
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License NumberD.007618-C1
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: