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DR. SHEILA GAIL DARE DMD

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1225256589

Individual Registrant:
DR. SHEILA GAIL DARE DMD
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

Contact information for business:
PO BOX 669 106 3RD AVE SE REFORM, AL 35481-0669 US
Tel: 205-375-6314  Fax: 205-375-6314

Registration Information:
NPI: 1225256589
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AL4592

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
BCBS NUMBER510-40740AL01
DENTAL LICENSE NUMBER4592AL01




HEALTH CARE JOBS AL - Page 1



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