| West Princeton Dental Clinic | |
|
859 Lomb Ave Sw Birmingham AL 35211-1257 | |
| (205) 788-2124 | |
| Not Available |
| Full Name | West Princeton Dental Clinic |
|---|---|
| Speciality | Dentist |
| Location | 859 Lomb Ave Sw, Birmingham, Alabama |
| Authorized Official Name and Position | Pamela Jackson Butler (OFFICE MANAGER) |
| Authorized Official Contact | 2057882124 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Princeton Dental Clinic 859 Lomb Ave Sw Birmingham AL 35211-1257 Ph: () - | West Princeton Dental Clinic 859 Lomb Ave Sw Birmingham AL 35211-1257 Ph: (205) 788-2124 |
| NPI Number | 1639363955 |
|---|---|
| Provider Enumeration Date | 08/29/2007 |
| Last Update Date | 08/29/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639363955 | NPI | - | NPPES |
| 1700-9799-94 | Other | AL | INDIVIDUAL NPI NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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