Provider Demographics
NPI:1760720387
Name:DENTON DENTAL OF FOLEY DBA SAVE-ON DENTAL CARE
Entity Type:Organization
Organization Name:DENTON DENTAL OF FOLEY DBA SAVE-ON DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:K C
Authorized Official - Middle Name:
Authorized Official - Last Name:BYERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-295-0230
Mailing Address - Street 1:12342 FOLEY BEACH EXPY
Mailing Address - Street 2:
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-5468
Mailing Address - Country:US
Mailing Address - Phone:251-272-9257
Mailing Address - Fax:
Practice Address - Street 1:12342 FOLEY BEACH EXPY
Practice Address - Street 2:
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-5468
Practice Address - Country:US
Practice Address - Phone:251-272-9257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-17
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL45021223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty