Fennell, Angela Saint

Fennell, Angela Saint is an individual health care provider with primary practice located at 4000 Balmoral Dr Sw Ste 102, Huntsville AL 35801-6402. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Fennell, Angela Saint can be contacted via phone (256) 880-8436.

Contact Information

Primary practice address
4000 Balmoral Dr Sw Ste 102 Huntsville AL 35801-6402
Phone: (256) 880-8436
Fax: (256) 880-8325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 4404 Alabama

Profile Details

NPI number 1699772814
LBN Legal business name Fennell, Angela Saint
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2005
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699772814 NPPES
Other 831591 TRICARE
Other 90832 TRICARE
Other 831591 TRICARE

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