IndividualActive
Abtin Iranmanesh, DDS
NPI 1205480423 · General Practice Dentistry · Madison, AL
Provider details
- NPI number
- 1205480423
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- D.0006698-C1 (AL)
Specialties & taxonomies
Dental Providers
Practice location
7564 Highway 72 W Ste C
Madison, AL 35758-9437
Phone: (256) 690-5099
Approximate (ZIP-level) locationGet directions
Mailing address
108 Sanoma Dr
Madison, AL 35758-1394
Registry dates
- Enumerated
- 2019-07-25
- Last updated
- 2019-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.