Marilia P. Tate, Dmd,pc | |
2030 Patton Chapel Rd Birmingham AL 35216-5770 | |
(205) 979-9491 | |
Not Available |
Full Name | Marilia P. Tate, Dmd,pc |
---|---|
Speciality | Dentist |
Location | 2030 Patton Chapel Rd, Birmingham, Alabama |
Authorized Official Name and Position | Marilia P. Tate (OWNER/PRESIDENT) |
Authorized Official Contact | 2059799491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Marilia P. Tate, Dmd,pc 2030 Patton Chapel Rd Birmingham AL 35216-5770 Ph: (205) 979-9491 | Marilia P. Tate, Dmd,pc 2030 Patton Chapel Rd Birmingham AL 35216-5770 Ph: (205) 979-9491 |
NPI Number | 1114315785 |
---|---|
Provider Enumeration Date | 01/05/2015 |
Last Update Date | 01/05/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114315785 | NPI | - | NPPES |
511-45494 | Other | AL | BLUE CROSS BLUE SHIELD OF AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 5939 (Alabama) | Primary |
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