ETHERTON FAMILY DENTISTRY PC NPI 1942809355

NPI Information

NPI: 1942809355
Provider Name: ETHERTON FAMILY DENTISTRY PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6 MEDICAL PARK
VALLEY, AL
ZIP 36854
Phone: (334) 756-4178
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ETHERTON FAMILY DENTISTRY PC is a dental clinic center in Valley, AL. ETHERTON FAMILY DENTISTRY PC NPI is 1942809355. The provider is registered as an organization entity type.

The provider's business location address is:

6 MEDICAL PARK
VALLEY, AL
ZIP 36854-665
Phone: (334) 756-4178
Fax: (334) 756-5884

The provider's authorized official is Jason Anthony Etherton .
The authorized official title is President and has the following contact phone number (334) 756-4178.

The enumeration date for this NPI number is 10/19/2020 and was last updated on 10/19/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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