Dr. Shawn Burl, Inc. | |
139 3rd Ave W Birmingham AL 35204-4114 | |
(205) 254-8555 | |
Not Available |
Full Name | Dr. Shawn Burl, Inc. |
---|---|
Speciality | Dentist - General Practice |
Location | 139 3rd Ave W, Birmingham, Alabama |
Authorized Official Name and Position | Dr. Shawn Burl (OWNER) |
Authorized Official Contact | 2052548555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Dr. Shawn Burl, Inc. 139 3rd Ave W Birmingham AL 35204-4114 Ph: (205) 254-8555 | Dr. Shawn Burl, Inc. 139 3rd Ave W Birmingham AL 35204-4114 Ph: (205) 254-8555 |
NPI Number | 1447815931 |
---|---|
Provider Enumeration Date | 05/09/2019 |
Last Update Date | 06/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447815931 | NPI | - | NPPES |
4077 | Other | AL | DENTAL LIC |
150802 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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