| Dr. Lonette S Phipps, Llc | |
|
2152 46th Place Ensley Birmingham AL 35208-4602 | |
| (205) 788-8889 | |
| (208) 788-8890 |
| Full Name | Dr. Lonette S Phipps, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2152 46th Place Ensley, Birmingham, Alabama |
| Authorized Official Name and Position | Bennie L Phipps (CEO) |
| Authorized Official Contact | 2057888889 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Lonette S Phipps, Llc 2152 46th Place Ensley Birmingham AL 35208-4602 Ph: (205) 788-8889 | Dr. Lonette S Phipps, Llc 2152 46th Place Ensley Birmingham AL 35208-4602 Ph: (205) 788-8889 |
| NPI Number | 1710163258 |
|---|---|
| Provider Enumeration Date | 01/15/2008 |
| Last Update Date | 01/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710163258 | NPI | - | NPPES |
| 51538521 | Other | AL | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5045 (Alabama) | Primary |
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