Provider Demographics
NPI:1932582749
Name:DENTON DENTAL OF PELHAM DBA SAVE-ON
Entity type:Organization
Organization Name:DENTON DENTAL OF PELHAM DBA SAVE-ON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-943-9251
Mailing Address - Street 1:2685 PELHAM PKWY
Mailing Address - Street 2:SUITE B
Mailing Address - City:PELHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35124-1354
Mailing Address - Country:US
Mailing Address - Phone:205-620-9220
Mailing Address - Fax:
Practice Address - Street 1:2685 PELHAM PKWY
Practice Address - Street 2:SUITE B
Practice Address - City:PELHAM
Practice Address - State:AL
Practice Address - Zip Code:35124-1354
Practice Address - Country:US
Practice Address - Phone:205-620-9220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-30
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty