| Southern Periodontics | |
|
1023 Oxmoor Rd Homewood AL 35209-5317 | |
| (256) 467-3638 | |
| Not Available |
| Full Name | Southern Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1023 Oxmoor Rd, Homewood, Alabama |
| Authorized Official Name and Position | Coty Hulgan (PRESIDENT) |
| Authorized Official Contact | 2564673638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Periodontics 1023 Oxmoor Rd Homewood AL 35209-5317 Ph: (256) 467-3638 | Southern Periodontics 1023 Oxmoor Rd Homewood AL 35209-5317 Ph: (256) 467-3638 |
| NPI Number | 1861986622 |
|---|---|
| Provider Enumeration Date | 06/15/2018 |
| Last Update Date | 06/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861986622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 6124 (Alabama) | Primary |
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