Provider Demographics
NPI:1336455815
Name:TODAY'S FAMILY DENTISTRY, P.C.
Entity Type:Organization
Organization Name:TODAY'S FAMILY DENTISTRY, P.C.
Other - Org Name:BLOUNT DENTAL CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-739-3337
Mailing Address - Street 1:PO BOX 910
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35056-0910
Mailing Address - Country:US
Mailing Address - Phone:256-739-3337
Mailing Address - Fax:256-739-3165
Practice Address - Street 1:17609 STATE HIGHWAY 160
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:AL
Practice Address - Zip Code:35049-4018
Practice Address - Country:US
Practice Address - Phone:205-625-3357
Practice Address - Fax:205-625-3287
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TODAY'S FAMILY DENTISTRY, P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL49371223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty