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Chickasaw Family Dental — NPI 1316530736, Chickasaw, AL | NPI Central

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NPI 1316530736

OrganizationActive

Chickasaw Family Dental

NPI 1316530736 · Dental Clinic/Center · Chickasaw, AL

Provider details

NPI number: 1316530736
Entity type: Organization
Primary specialty: Dental Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Lanthea Mangum, Coo(601) 271-8710

Specialties & taxonomies

Dental Clinic/CenterPrimary261QD0000X
Ambulatory Health Care Facilities

Practice location

457 N Craft Hwy

Chickasaw, AL 36611-1364

Phone: (251) 456-8406

Approximate (ZIP-level) locationGet directions

More AL providers

Mailing address

457 N Craft Hwy

Chickasaw, AL 36611-1364

Registry dates

Enumerated: 2021-02-17
Last updated: 2021-10-14
Certified: 2021-10-14

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.