| Dental Associates Of Tuscaloosa Llc | |
|
217 Mcfarland Circle North Tuscaloosa AL 34506 | |
| (205) 345-7755 | |
| (205) 343-9075 |
| Full Name | Dental Associates Of Tuscaloosa Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 217 Mcfarland Circle North, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Jerry Andrew Fikes (OWNER DENTIST) |
| Authorized Official Contact | 2053457755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Associates Of Tuscaloosa Llc 217 Mcfarland Circle North Tuscaloosa AL 34506 Ph: (205) 345-7755 | Dental Associates Of Tuscaloosa Llc 217 Mcfarland Circle North Tuscaloosa AL 34506 Ph: (205) 345-7755 |
| NPI Number | 1942394820 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942394820 | NPI | - | NPPES |
| 51506076 | Other | AL | BLUE CROSS BLUE SHIELD |
| 51526480 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3162 (Alabama) | Primary |
| 122300000X | Dentist | 5177 (Alabama) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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