Organization · NPI-2

Acipco Dental Group, INC

Dentist, General Practice · Birmingham, AL

NPI number1346596715
StatusActive
Last updated in NPPESAug 3, 2012

Details

NPI
1346596715
Entity type
Organization (NPI-2)
Legal business name
Acipco Dental Group, INC
Organization subpart
No
Enumeration date
Aug 3, 2012
Last updated
Aug 3, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice5213ALYes

Practice location

3200 16th St N
Birmingham, AL 35207-4202

Phone 205-325-7004 · Fax 205-325-1976

Mailing address

P.O. Box 12725
Birmingham, AL 35202-2725

Phone 205-325-7004 · Fax 205-325-1976

Authorized official

Nathaniel Redmond
President
2053257004

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