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General NPI Number Information
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NPI Number | 1932012168
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Entity Type | Organization
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Legal Business Name | WETUMPKA CHILDREN'S DENTISTRY LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 3966 US HIGHWAY 231
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City | WETUMPKA
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State | AL
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Zip | 36093-1201
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Country | US
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Telephone | 334-875-1330
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Fax |
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Provider Business Mailing Address
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Address Line | 2425 MEDICAL CENTER PKWY
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City | SELMA
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State | AL
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Zip | 36701-7756
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSING & CREDENTIALING
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Name | ELIZABETH CULPEPPER
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Credential |
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Telephone | 334-431-0642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | NULL
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