| Jerry W. Reasner, Dmd | |
|
924 Montclair Road Suite 101 Birmingham AL 35213 | |
| (205) 595-2626 | |
| (205) 592-9241 |
| Full Name | Jerry W. Reasner, Dmd |
|---|---|
| Speciality | Dentist |
| Location | 924 Montclair Road, Birmingham, Alabama |
| Authorized Official Name and Position | Jerry W Reasner (OWNER) |
| Authorized Official Contact | 2055952626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry W. Reasner, Dmd 924 Montclair Rd Suite 101 Birmingham AL 35213-1211 Ph: (205) 595-2626 | Jerry W. Reasner, Dmd 924 Montclair Road Suite 101 Birmingham AL 35213 Ph: (205) 595-2626 |
| NPI Number | 1306211800 |
|---|---|
| Provider Enumeration Date | 12/09/2015 |
| Last Update Date | 12/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306211800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 4009 (Alabama) | Primary |
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