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DR. STEPHEN ERSKINE BOLT

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1265515472

Individual Registrant:
DR. STEPHEN ERSKINE BOLT 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1760 MILITARY HIGHWAY SO DR DALE E BOLT HAMILTON, AL 35570 US
Tel: 205-921-7806  Fax: 205-921-7806

Contact information for business:
PO BOX 820  HAMILTON, AL 35570 US
Tel: 205-921-7806  Fax: 205-921-7806

Registration Information:
NPI: 1265515472
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
AL5519

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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