| Southern Periodontics Ii, Pc | |
|
527 Palisades Drive Suite 101 Birmingham AL 35209 | |
| (205) 354-2689 | |
| Not Available |
| Full Name | Southern Periodontics Ii, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 527 Palisades Drive, Birmingham, Alabama |
| Authorized Official Name and Position | Coty Hulgan (OWNER) |
| Authorized Official Contact | 2053542689 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Periodontics Ii, Pc 1023 Oxmoor Rd Homewood AL 35209-5317 Ph: (205) 354-2689 | Southern Periodontics Ii, Pc 527 Palisades Drive Suite 101 Birmingham AL 35209 Ph: (205) 354-2689 |
| NPI Number | 1962358184 |
|---|---|
| Provider Enumeration Date | 03/09/2026 |
| Last Update Date | 03/09/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962358184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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