Robert T Underwood Dmd Pc | |
1038 Mount Olive Rd Gardendale AL 35071-3443 | |
(205) 631-8066 | |
(205) 631-8021 |
Full Name | Robert T Underwood Dmd Pc |
---|---|
Speciality | Dentist |
Location | 1038 Mount Olive Rd, Gardendale, Alabama |
Authorized Official Name and Position | Robert Underwood (OWNER) |
Authorized Official Contact | 2056318066 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert T Underwood Dmd Pc 1038 Mount Olive Rd Gardendale AL 35071-3443 Ph: (205) 631-8066 | Robert T Underwood Dmd Pc 1038 Mount Olive Rd Gardendale AL 35071-3443 Ph: (205) 631-8066 |
NPI Number | 1487013298 |
---|---|
Provider Enumeration Date | 02/22/2016 |
Last Update Date | 02/22/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487013298 | NPI | - | NPPES |
51096265 | Other | AL | BLUE CROSS BLUE SHIELD OF AL |
1841371929 | Other | AL | NPI |
009924885 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 4885 (Alabama) | Primary |
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