Park Place Dental | |
2001 Park Pl 835 Birmingham AL 35203-2735 | |
(205) 323-0454 | |
(205) 323-0458 |
Full Name | Park Place Dental |
---|---|
Speciality | Dentist - General Practice |
Location | 2001 Park Pl, Birmingham, Alabama |
Authorized Official Name and Position | Kimberly Michelle Maldon (OWNER) |
Authorized Official Contact | 2053230454 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Park Place Dental 2001 Park Pl 835 Birmingham AL 35203-2735 Ph: (205) 323-0454 | Park Place Dental 2001 Park Pl 835 Birmingham AL 35203-2735 Ph: (205) 323-0454 |
NPI Number | 1326397381 |
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Provider Enumeration Date | 09/06/2012 |
Last Update Date | 05/28/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326397381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 5722 (Alabama) | Primary |
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