Birmingham Endodontics Llc | |
202 Inverness Center Dr Suite 202 Birmingham AL 35242-7635 | |
(205) 981-3301 | |
(205) 981-3307 |
Full Name | Birmingham Endodontics Llc |
---|---|
Speciality | Dentist - Endodontics |
Location | 202 Inverness Center Dr, Birmingham, Alabama |
Authorized Official Name and Position | Krissie Baker Aycock (BUSINESS MANAGER) |
Authorized Official Contact | 2059813301 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Birmingham Endodontics Llc 202 Inverness Center Drive Suite 202 Birmingham AL 35242-7635 Ph: (205) 981-3301 | Birmingham Endodontics Llc 202 Inverness Center Dr Suite 202 Birmingham AL 35242-7635 Ph: (205) 981-3301 |
NPI Number | 1255439964 |
---|---|
Provider Enumeration Date | 09/20/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255439964 | NPI | - | NPPES |
51035548 | Other | AL | BCBS AL PROVIDER |
51509043 | Other | AL | BCBS AL PROVIDER |
272124 | Other | AL | UCCI PROVIDER |
4289 | Other | AL | CISSELL STATE LICENSE |
5041 | Other | AL | CAPRARA STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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