| Acipco Dental Group, Inc | |
|
3200 16th St N Birmingham AL 35207-4202 | |
| (205) 325-7004 | |
| (205) 325-1976 |
| Full Name | Acipco Dental Group, Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3200 16th St N, Birmingham, Alabama |
| Authorized Official Name and Position | Nathaniel Redmond (PRESIDENT) |
| Authorized Official Contact | 2053257004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acipco Dental Group, Inc P.o. Box 12725 Birmingham AL 35202-2725 Ph: (205) 325-7004 | Acipco Dental Group, Inc 3200 16th St N Birmingham AL 35207-4202 Ph: (205) 325-7004 |
| NPI Number | 1346596715 |
|---|---|
| Provider Enumeration Date | 08/03/2012 |
| Last Update Date | 08/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346596715 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5213 (Alabama) | Primary |
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