| Petznick Dental | |
|
2045 Brookwood Medical Ctr Dr Suite 6 Homewood AL 35209-6874 | |
| (205) 326-7444 | |
| (205) 637-1933 |
| Full Name | Petznick Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2045 Brookwood Medical Ctr Dr, Homewood, Alabama |
| Authorized Official Name and Position | Paul Gaston Petznick (DENTIST) |
| Authorized Official Contact | 2053267444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Petznick Dental Po Box 530652 Birmingham AL 35253-0652 Ph: (205) 326-7444 | Petznick Dental 2045 Brookwood Medical Ctr Dr Suite 6 Homewood AL 35209-6874 Ph: (205) 326-7444 |
| NPI Number | 1265970487 |
|---|---|
| Provider Enumeration Date | 02/08/2017 |
| Last Update Date | 02/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265970487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4316 (Alabama) | Primary |
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