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General NPI Number Information
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NPI Number | 1245360593
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Entity Type | Organization
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Legal Business Name | DENTAL CARE OF ALABAMA LLC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1701 MCFARLAND BLVD E SUITE 122 UNIVERSITY MALL
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5824
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Country | US
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Telephone | 205-556-2980
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Fax | 205-553-8554
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Provider Business Mailing Address
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Address Line | 1701 MCFARLAND BLVD E SUITE 122 UNIVERSITY MALL
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City | TUSCALOOSA
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State | AL
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Zip | 35404-5824
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Country | US
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Telephone | 205-556-2980
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Fax | 205-553-8554
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES L WHITE
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Credential | D.D.S.
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Telephone | 205-556-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 4341
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License Number State | AL
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