William M Colburn Dmd PC
Clinic/Center, Dental in Northport, AL. Organization (NPI-2).
NPI number1164035341
StatusActive
Last updated in NPPESAug 26, 2020
Details
- NPI
- 1164035341
- Entity type
- Organization (NPI-2)
- Legal business name
- William M Colburn Dmd PC
- Organization subpart
- No
- Enumeration date
- Aug 26, 2020
- Certification date
- Aug 26, 2020
- Last updated
- Aug 26, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
2810 20th Ave Ste ANorthport, AL 35476-3835
Phone 205-339-1777
Mailing address
2810 20th Ave Ste ANorthport, AL 35476-3835
Phone 205-339-1777
Authorized official
William Manley Colburn
Dentist
2053391777
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