DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: WIREGRASS ORTHODONTIC SPECIALISTS

MEDICARE: WIREGRASS ORTHODONTIC SPECIALISTS
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
1261QD0000XDental Clinic/Center5050AL

General Provider Information

NPI Number : 1922500198
Entity Type Code : Organization
Provider Name (Legal Business Name) : WIREGRASS ORTHODONTIC SPECIALISTS
Provider Business Mailing Address
First Line : 100 OBRANNON PARK AVE
Second Line :
City : DOTHAN
State : AL
Zip : 36303-2052
Country : US
Telephone Number : 334-792-1000
Fax Number :
Provider Business Practice Location Address
First Line : 100 OBRANNON PARK AVE
Second Line :
City : DOTHAN
State : AL
Zip : 36303-2052
Country : US
Telephone Number : 334-792-1000
Fax Number :
Authorized Official
Title or Position : INSURANCE
Name : HEIDI MCCLINTOCK
Credential :
Telephone Number : 334-792-1000
Provider Enumeration Date : 03/05/2018
Last Update Date : 03/05/2018

Similar Medicare Providers

1508883133 — DR. FAYE E RAO MD
Practice Location Address:
118 OBRANNAN PARK DR
DOTHAN, AL
36303-2052
Practice Phone: 334-305-2800
Practice Fax: 866-554-1248
1932250339 — DR. PETER M RAO MD
Practice Location Address:
118 OBRANNAN PARK DR
DOTHAN, AL
36303-2052
Practice Phone: 334-305-2800
Practice Fax: 866-554-1248
1700344488 — GREGORY KEITH TICE NP-C
Practice Location Address:
118 OBRANNAN PARK DR
DOTHAN, AL
36303-2052
Practice Phone: 334-305-2800
Practice Fax: 866-554-1248
1831864891 — RAO HEART & VASCULAR LLC
Practice Location Address:
118 OBRANNAN PARK DR
DOTHAN, AL
36303-2052
Practice Phone: 334-305-2800
Practice Fax: 866-554-1248
1902549991 — JOSHUA ALLEN MOUNT NP
Practice Location Address:
118 OBRANNAN PARK DR
DOTHAN, AL
36303-2052
Practice Phone: 334-305-2800
Practice Fax: 866-554-1248
1538846746 — AMBER FLEMING CRNP
Practice Location Address:
118 OBRANNAN PARK DR
DOTHAN, AL
36303-2052
Practice Phone: 334-305-2800
Practice Fax: 866-554-1248

Directions to “WIREGRASS ORTHODONTIC SPECIALISTS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.