Provider Demographics
NPI:1952545063
Name:DORSETT, TOXEY EDWARD (DMD)
Entity type:Individual
Prefix:DR
First Name:TOXEY
Middle Name:EDWARD
Last Name:DORSETT
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 561
Mailing Address - Street 2:325 VALLEY ROAD
Mailing Address - City:FAIRFIELD
Mailing Address - State:AL
Mailing Address - Zip Code:35064-0561
Mailing Address - Country:US
Mailing Address - Phone:205-788-5621
Mailing Address - Fax:205-981-9907
Practice Address - Street 1:325 VALLEY ROAD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:AL
Practice Address - Zip Code:35064
Practice Address - Country:US
Practice Address - Phone:205-788-5621
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2275122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
No1223G0001XDental ProvidersDentistGeneral Practice