MEDICARE: DR. FRANKLIN ALCIDE DENTREMONT JR. DMD

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
1	1223G0001X	General Practice Dentistry	4021	AL
2	1223G0001X	General Practice Dentistry	2834	ME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	511-37567	OTHER	AL	BLUE CROSS BLUE SHIELD ALABAMA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	2898361	OTHER	AL	UNITED CONCORDIA OF ALABAMA

General Provider Information

NPI Number	:	1730220955
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FRANKLIN ALCIDE DENTREMONT JR. DMD

Provider Business Mailing Address
First Line	:	3501 GULF SHORES PKWY
Second Line	:	SUITE 4
City	:	GULF SHORES
State	:	AL
Zip	:	36542-5710
Country	:	US
Telephone Number	:	251-943-0004
Fax Number	:	844-208-8385

Provider Business Practice Location Address
First Line	:	3501 GULF SHORES PKWY
Second Line	:	SUITE 4
City	:	GULF SHORES
State	:	AL
Zip	:	36542-5710
Country	:	US
Telephone Number	:	251-943-0004
Fax Number	:	844-208-8385

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2007
Last Update Date	:	11/09/2016

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Directions to “ DR. FRANKLIN ALCIDE DENTREMONT JR. DMD” Practice Location

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