| Crestline Village Dentistry | |
|
244 Country Club Park Birmingham AL 35213-4200 | |
| (205) 870-5700 | |
| (205) 870-5699 |
| Full Name | Crestline Village Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 244 Country Club Park, Birmingham, Alabama |
| Authorized Official Name and Position | Georgia C Jones (OWNER) |
| Authorized Official Contact | 2058705700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crestline Village Dentistry 244 Country Club Park Birmingham AL 35213-4200 Ph: (205) 870-5700 | Crestline Village Dentistry 244 Country Club Park Birmingham AL 35213-4200 Ph: (205) 870-5700 |
| NPI Number | 1174713895 |
|---|---|
| Provider Enumeration Date | 07/30/2007 |
| Last Update Date | 07/30/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174713895 | NPI | - | NPPES |
| 5014 | Other | AL | ALABAMA DENTAL LICENSE NU |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5014 (Alabama) | Primary |
Birmingham Braces Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2224 Cahaba Valley Dr, Birmingham, AL 35242 Phone: 205-956-4277 Fax: 205-991-6575 | |
Inverness Smiles Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5291 Valleydale Rd Ste 129, Birmingham, AL 35242 Phone: 205-995-3989 Fax: 205-995-3990 | |
Wayne Palestini Dmd Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 35th St West Ensley, Birmingham, AL 35216 Phone: 205-781-3681 Fax: 205-781-3682 | |
Endodontic Associates P.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4518 Valleydale Rd, Suite 103, Birmingham, AL 35242 Phone: 205-995-8200 Fax: 205-980-9387 | |
Birmingham Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1021 19th St S, Birmingham, AL 35205 Phone: 205-837-5602 | |
Brookwood Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2045 Brookwood Medical Ctr Dr, Suite 2, Birmingham, AL 35209 Phone: 205-871-3523 | |
Matthew D. Litz, D.d.s., Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Century Park S, Suite 200, Birmingham, AL 35226 Phone: 205-822-3222 Fax: 205-822-3504 |