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Dr. Roosevelt Alfonso Daniel, DDS
General Practice Dentistry in Montgomery, Alabama
NPI 1043344617

Roosevelt Alfonso Daniel is a General Practice Dentistry based in Montgomery, AL and is specialized in General Practice. Roosevelt Alfonso Daniel practices in Montgomery, AL and has the professional credentials of DDS. The NPI Number for Roosevelt Alfonso Daniel is 1043344617 and holds a License No. 3328 (Alabama).

The current practice location address for Roosevelt Alfonso Daniel is 524 E Edgemont Ave, Montgomery, AL and can be reached out via phone at 334-834-9647 and via fax at 334-834-3716.

Location: 524 E Edgemont Ave, Montgomery, AL, 36105-1646
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1043344617
Provider Name
Roosevelt Alfonso Daniel
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
524 E Edgemont Ave, Montgomery, AL, 36105-1646
Phone Number
334-834-9647
Fax Number
334-834-3716
Provider Enumeration Date
03/15/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
51091556 01 AL BCBSAL
000091556 05 AL
institution
Provider Business Practice Location Address Details
Address
524 E Edgemont Ave
City
Montgomery
State
Alabama
Zip
36111-1321
Phone Number
334-834-9647
Fax Number
334-834-3716
person
Provider Business Mailing Address Details
Address
524 E Edgemont Ave
City
Montgomery
State
Alabama
Zip
36111-1321
Phone Number
334-834-9647
Fax Number
334-834-3716
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
3328 (Alabama)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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