| Dr. Shawn Burl, Inc. | |
|
139 3rd Ave W Birmingham AL 35204-4114 | |
| (205) 254-8555 | |
| Not Available |
| Full Name | Dr. Shawn Burl, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 139 3rd Ave W, Birmingham, Alabama |
| Authorized Official Name and Position | Dr. Shawn Burl (OWNER) |
| Authorized Official Contact | 2052548555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Shawn Burl, Inc. 139 3rd Ave W Birmingham AL 35204-4114 Ph: (205) 254-8555 | Dr. Shawn Burl, Inc. 139 3rd Ave W Birmingham AL 35204-4114 Ph: (205) 254-8555 |
| NPI Number | 1447815931 |
|---|---|
| Provider Enumeration Date | 05/09/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447815931 | NPI | - | NPPES |
| 4077 | Other | AL | DENTAL LIC |
| 150802 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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