| Robert T Underwood Dmd Pc | |
|
1038 Mount Olive Rd Gardendale AL 35071-3443 | |
| (205) 631-8066 | |
| (205) 631-8021 |
| Full Name | Robert T Underwood Dmd Pc |
|---|---|
| Speciality | Dentist |
| Location | 1038 Mount Olive Rd, Gardendale, Alabama |
| Authorized Official Name and Position | Robert Underwood (OWNER) |
| Authorized Official Contact | 2056318066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert T Underwood Dmd Pc 1038 Mount Olive Rd Gardendale AL 35071-3443 Ph: (205) 631-8066 | Robert T Underwood Dmd Pc 1038 Mount Olive Rd Gardendale AL 35071-3443 Ph: (205) 631-8066 |
| NPI Number | 1487013298 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487013298 | NPI | - | NPPES |
| 51096265 | Other | AL | BLUE CROSS BLUE SHIELD OF AL |
| 1841371929 | Other | AL | NPI |
| 009924885 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4885 (Alabama) | Primary |
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