| Dental Clinic - Chs | |
|
1600 7th Ave S # Clinic9 Birmingham AL 35233-1711 | |
| (205) 638-9161 | |
| (205) 638-9796 |
| Full Name | Dental Clinic - Chs |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1600 7th Ave S # Clinic9, Birmingham, Alabama |
| Authorized Official Name and Position | Dawn H Walton (CFO) |
| Authorized Official Contact | 2056389901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Clinic - Chs Po Box 114070536 Birmingham AL 35246-0536 Ph: (205) 638-5600 | Dental Clinic - Chs 1600 7th Ave S # Clinic9 Birmingham AL 35233-1711 Ph: (205) 638-9161 |
| NPI Number | 1720257645 |
|---|---|
| Provider Enumeration Date | 02/25/2008 |
| Last Update Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720257645 | NPI | - | NPPES |
| 529918130 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | H3704 (Alabama) | Primary |
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› Verified 2 days ago
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