| Marilia P. Tate, Dmd,pc | |
|
2030 Patton Chapel Rd Birmingham AL 35216-5770 | |
| (205) 979-9491 | |
| Not Available |
| Full Name | Marilia P. Tate, Dmd,pc |
|---|---|
| Speciality | Dentist |
| Location | 2030 Patton Chapel Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Marilia P. Tate (OWNER/PRESIDENT) |
| Authorized Official Contact | 2059799491 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marilia P. Tate, Dmd,pc 2030 Patton Chapel Rd Birmingham AL 35216-5770 Ph: (205) 979-9491 | Marilia P. Tate, Dmd,pc 2030 Patton Chapel Rd Birmingham AL 35216-5770 Ph: (205) 979-9491 |
| NPI Number | 1114315785 |
|---|---|
| Provider Enumeration Date | 01/05/2015 |
| Last Update Date | 01/05/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114315785 | NPI | - | NPPES |
| 511-45494 | Other | AL | BLUE CROSS BLUE SHIELD OF AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5939 (Alabama) | Primary |
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