Provider Demographics
NPI:1417676768
Name:SARALAND PEDIATRIC DENTISTRY, PC
Entity Type:Organization
Organization Name:SARALAND PEDIATRIC DENTISTRY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:S
Authorized Official - Last Name:RABBIT
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:205-239-8998
Mailing Address - Street 1:7058 PROFESSIONAL PL
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-4511
Mailing Address - Country:US
Mailing Address - Phone:251-447-0627
Mailing Address - Fax:251-447-0639
Practice Address - Street 1:7058 PROFESSIONAL PL
Practice Address - Street 2:
Practice Address - City:DAPHNE
Practice Address - State:AL
Practice Address - Zip Code:36526-4511
Practice Address - Country:US
Practice Address - Phone:251-447-0627
Practice Address - Fax:251-447-0639
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-22
Last Update Date:2022-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223P0221XDental ProvidersDentistPediatric DentistryGroup - Single Specialty