Provider Demographics
NPI:1447720594
Name:AL DENTAL PROFESSIONALS PC
Entity type:Organization
Organization Name:AL DENTAL PROFESSIONALS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ANALYST, REVENUE CYCLE MANAGEMENT
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WORKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-241-1931
Mailing Address - Street 1:PO BOX 306179
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37230-6179
Mailing Address - Country:US
Mailing Address - Phone:440-241-1931
Mailing Address - Fax:888-868-5803
Practice Address - Street 1:3140 OVERTON RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN BRK
Practice Address - State:AL
Practice Address - Zip Code:35223-2871
Practice Address - Country:US
Practice Address - Phone:205-967-8636
Practice Address - Fax:205-967-8604
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-03
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty