Marble City Pediatric Dentistry

LBN: Marble City Pediatric Dentistry
Marble City Pediatric Dentistry is an health care organization with primary practice located at 1039 W Fort Williams St , Sylacauga AL 35150-2301. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Marble City Pediatric Dentistry can be contacted via phone (256) 245-1399, or through Curtis, Jonathan C via phone (256) 245-1399.

Contact Information

Primary practice address
1039 W Fort Williams St Sylacauga AL 35150-2301
Phone: (256) 245-1399
Fax: (205) 408-8187
Website:
Map and Directions
Authorized official contact:
Name: Curtis, Jonathan C Doctor of Dental Medicine (DMD)
Phone: (256) 245-1399

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 5263 Alabama

Profile Details

NPI number 1114321643
LBN Legal business name Marble City Pediatric Dentistry
DBA Doing business as
Authorized official Curtis, Jonathan C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2014
Last updated Oct 13th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114321643 NPPES
Alabama MEDICAID 009934268

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