| North Shelby Dental Studio | |
|
2000 Southlake Park Suite 250 Hoover AL 35244-3616 | |
| (205) 278-3316 | |
| Not Available |
| Full Name | North Shelby Dental Studio |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2000 Southlake Park, Hoover, Alabama |
| Authorized Official Name and Position | David W Cowan (OWNER/DENTIST) |
| Authorized Official Contact | 2052783316 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Shelby Dental Studio 2000 Southlake Park Suite 250 Hoover AL 35244-3616 Ph: (205) 278-3316 | North Shelby Dental Studio 2000 Southlake Park Suite 250 Hoover AL 35244-3616 Ph: (205) 278-3316 |
| NPI Number | 1184036154 |
|---|---|
| Provider Enumeration Date | 05/27/2014 |
| Last Update Date | 05/27/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184036154 | NPI | - | NPPES |
| 51091025 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4292 (Alabama) | Primary |
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