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NPI Code Detail

MEDICARE: DANIEL CHRISTOPHER PICARD D.M.D., L.L.C.

MEDICARE:   DANIEL CHRISTOPHER PICARD  D.M.D., L.L.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice Dentistry5172AL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11668132OTHERALUNITED CONCORDIA PROV ID
2515-25364OTHERALBCBS PROVIDER ID

General Provider Information

NPI Number : 1154418762
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL CHRISTOPHER PICARD D.M.D., L.L.C.
Provider Business Mailing Address
First Line : 1202 ASHLAND HWY
Second Line :
City : TALLADEGA
State : AL
Zip : 35160-3109
Country : US
Telephone Number : 256-362-4343
Fax Number : 256-362-4942
Provider Business Practice Location Address
First Line : 1202 ASHLAND HWY
Second Line :
City : TALLADEGA
State : AL
Zip : 35160-3109
Country : US
Telephone Number : 256-362-4343
Fax Number : 256-362-4942
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2006
Last Update Date : 07/09/2007

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Directions to “ DANIEL CHRISTOPHER PICARD D.M.D., L.L.C.” Practice Location

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