Fort Deposit Dental Center is a Dental Clinic in Fort Deposit, Alabama. This organization is also known as sub part of Evergreen Dental Center. It is located at 119 Old Fort Road, Suite B, Fort Deposit, AL and its contact number is 334-227-4000. The authorized person for Fort Deposit Dental Center is Dr. Robert P Louis
who is Executive Director of the clinic and their contact number is 251-578-3331. The primary license number for Fort Deposit Dental Center is DD5370-C (Dentist) in Alabama. Fort Deposit Dental Center Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Fort Deposit Dental Center Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fort Deposit Dental Center
Specialization:
Dentistry
Clinic Address:
119 Old Fort Road, Suite B, Fort Deposit, Alabama, 36032
Phone:
334-227-4000
Fax:
334-227-3770
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Robert P Louis
Position:
Executive Director
Contact Number:
251-578-3331
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fort Deposit Dental Center clinic are as mentioned below.
NPI Number:
1518155373
Parent Organization:
Evergreen Dental Center
NPI Enumeration Date:
05 Oct, 2007
NPI Last Update On:
17 Jun, 2008
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fort Deposit Dental Center are as mentioned below.
Specialization
License Number
State
Status
Dentist
DD5370-C
Alabama
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
009910742
Medicaid
Alabama
009995725
Medicaid
Alabama
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fort Deposit Dental Center Po Box 266, 100 Edwina Street Evergreen, Alabama
Zip:
36401-0266
Phone Number:
251-578-3331
Fax Number:
251-578-5277
Patients can reach Fort Deposit Dental Center at 119 Old Fort Road, Suite B, Fort Deposit, Alabama or can call to book an appointment on 334-227-4000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.