| Carol Ann D. Nicrosi Dmd, Ms, Pc | |
|
1324 Main St Gardendale AL 35071 | |
| (205) 631-4572 | |
| (205) 631-4979 |
| Full Name | Carol Ann D. Nicrosi Dmd, Ms, Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1324 Main St, Gardendale, Alabama |
| Authorized Official Name and Position | Carol Ann Nicrosi (DENTIST) |
| Authorized Official Contact | 2056314572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Ann D. Nicrosi Dmd, Ms, Pc 1324 Main St. P.o. Box 908 Gardendale AL 35071 Ph: (205) 631-4572 | Carol Ann D. Nicrosi Dmd, Ms, Pc 1324 Main St Gardendale AL 35071 Ph: (205) 631-4572 |
| NPI Number | 1235227828 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235227828 | NPI | - | NPPES |
| 515-06005 | Other | AL | BCBS PROVIDER # |
| 51505999 | Other | AL | BCBS PROVDIER # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 4725 (Alabama) | Primary |
| 1223P0221X | Dentist - Pediatric Dentistry | 3725 (Alabama) | Secondary |
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