Full Name | Woodlawn Dental |
---|---|
Speciality | Dentist |
Location | 100 57th St So, Birmingham, Alabama |
Authorized Official Name and Position | Benjamin Williams (OWNER) |
Authorized Official Contact | 2055911101 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Woodlawn Dental 100 57th St So Birmingham AL 35212 Ph: (205) 591-1101 | Woodlawn Dental 100 57th St So Birmingham AL 35212 Ph: (205) 591-1101 |
NPI Number | 1265603823 |
---|---|
Provider Enumeration Date | 03/21/2008 |
Last Update Date | 06/17/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265603823 | NPI | - | NPPES |
529908410 | Medicaid | AL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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