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General NPI Number Information
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NPI Number | 1962532002
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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 | 03/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 315 N 3RD ST
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City | GADSDEN
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State | AL
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Zip | 35901-3201
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Country | US
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Telephone | 205-556-2980
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Fax |
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Provider Business Mailing Address
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Address Line | 315 N 3RD ST
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City | GADSDEN
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State | AL
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Zip | 35901-3201
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Country | US
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Telephone | 205-556-2980
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Fax |
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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 | DDS
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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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