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DR. JOSEPH GANTT EILAND DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1891224531
Individual Registrant:DR. JOSEPH GANTT EILAND DMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
644 W BYPASS ANDALUSIA, AL 36420-4731 US
Tel: 334-222-3232 Fax: --
Tel: 334-222-3232 Fax: --
Contact information for business:
644 W BYPASS ANDALUSIA, AL 36420-4731 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1891224531
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AL | 6399 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
