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WILLIAM JASON NORTHCUTT DMD
>> Dentist >> Dental ProvidersRegistrant NPI Number: 1174611586
Individual Registrant: WILLIAM JASON NORTHCUTT DMD
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
18471 WILTERS ST ROBERTSDALE, AL 36567 US
Tel: 251-947-3636 Fax: 251-947-3637
Tel: 251-947-3636 Fax: 251-947-3637
Contact information for business:
18471 WILTERS ST ROBERTSDALE, AL 36567 US
Tel: 251-947-3636 Fax: 251-947-3637
Tel: 251-947-3636 Fax: 251-947-3637
Registration Information:
NPI: 1174611586
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 122300000X | Dental Providers Dentist | AL | 4866 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
