Provider Demographics
NPI:1700209574
Name:DENTON DENTAL OF ATMORE PC DBA SAVE-ON DENTAL CARE OF ATMORE
Entity Type:Organization
Organization Name:DENTON DENTAL OF ATMORE PC DBA SAVE-ON DENTAL CARE OF ATMORE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DMD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DENTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-580-0979
Mailing Address - Street 1:109 7TH AVE
Mailing Address - Street 2:
Mailing Address - City:ATMORE
Mailing Address - State:AL
Mailing Address - Zip Code:36502-2601
Mailing Address - Country:US
Mailing Address - Phone:251-368-3559
Mailing Address - Fax:
Practice Address - Street 1:109 7TH AVE
Practice Address - Street 2:
Practice Address - City:ATMORE
Practice Address - State:AL
Practice Address - Zip Code:36502-2601
Practice Address - Country:US
Practice Address - Phone:251-368-3559
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-29
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL45021223E0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty