Organization · NPI-2
Affordable Dentures & Implants - Alabama, LLC
Dentist, General Practice · Birmingham, AL
NPI number1437790722
StatusActive
Last updated in NPPESJul 30, 2021
Details
- NPI
- 1437790722
- Entity type
- Organization (NPI-2)
- Legal business name
- Affordable Dentures & Implants - Alabama, LLC
- Organization subpart
- No
- Enumeration date
- Oct 8, 2019
- Certification date
- Jul 30, 2021
- Last updated
- Jul 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Practice location
5024 Pinnacle Sq Ste 116Birmingham, AL 35235-3176
Phone 205-539-5045
Mailing address
5024 Pinnacle Sq Ste 116Birmingham, AL 35235-3176
Authorized official
Haley Wooster
Enrollment Specialist
7127338551
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