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DR. SHEILA GAIL DARE DMD
General Practice >> Dentist >> Dental ProvidersRegistrant NPI Number: 1225256589
Individual Registrant:DR. SHEILA GAIL DARE DMD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
106 3RD AVE SE REFORM, AL 35481 US
Tel: 205-375-6314 Fax: 205-375-6314
Tel: 205-375-6314 Fax: 205-375-6314
Contact information for business:
PO BOX 669 106 3RD AVE SE REFORM, AL 35481-0669 US
Tel: 205-375-6314 Fax: 205-375-6314
Tel: 205-375-6314 Fax: 205-375-6314
Registration Information:
NPI: 1225256589
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 1223G0001X | Dental Providers Dentist General Practice | AL | 4592 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| BCBS NUMBER | 510-40740 | AL | 01 |
| DENTAL LICENSE NUMBER | 4592 | AL | 01 |
