| Birmingham Endodontics Llc | |
|
202 Inverness Center Dr Suite 202 Birmingham AL 35242-7635 | |
| (205) 981-3301 | |
| (205) 981-3307 |
| Full Name | Birmingham Endodontics Llc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 202 Inverness Center Dr, Birmingham, Alabama |
| Authorized Official Name and Position | Krissie Baker Aycock (BUSINESS MANAGER) |
| Authorized Official Contact | 2059813301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birmingham Endodontics Llc 202 Inverness Center Drive Suite 202 Birmingham AL 35242-7635 Ph: (205) 981-3301 | Birmingham Endodontics Llc 202 Inverness Center Dr Suite 202 Birmingham AL 35242-7635 Ph: (205) 981-3301 |
| NPI Number | 1255439964 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255439964 | NPI | - | NPPES |
| 51035548 | Other | AL | BCBS AL PROVIDER |
| 51509043 | Other | AL | BCBS AL PROVIDER |
| 272124 | Other | AL | UCCI PROVIDER |
| 4289 | Other | AL | CISSELL STATE LICENSE |
| 5041 | Other | AL | CAPRARA STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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