| Double Oak Mountain Family Dentistry, Llc | |
|
5510 Highway 280 Suite 104-105 Birmingham AL 35242-6582 | |
| (205) 991-8850 | |
| (205) 991-8656 |
| Full Name | Double Oak Mountain Family Dentistry, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5510 Highway 280, Birmingham, Alabama |
| Authorized Official Name and Position | H. Grady Swicord (OWNER) |
| Authorized Official Contact | 2059918850 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Double Oak Mountain Family Dentistry, Llc 5510 Highway 280 Suite 104-105 Birmingham AL 35242-6582 Ph: (205) 991-8850 | Double Oak Mountain Family Dentistry, Llc 5510 Highway 280 Suite 104-105 Birmingham AL 35242-6582 Ph: (205) 991-8850 |
| NPI Number | 1568440469 |
|---|---|
| Provider Enumeration Date | 01/03/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568440469 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 4051 (Alabama) | Primary |
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