| Ronald Alyn Macbeth Dmd, Llc | |
|
1045 Broadway Park, Suite 101 Birmingham AL 35209-3520 | |
| (850) 380-6814 | |
| (850) 380-6814 |
| Full Name | Ronald Alyn Macbeth Dmd, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1045 Broadway Park, Suite 101, Birmingham, Alabama |
| Authorized Official Name and Position | Ronald Macbeth (DENTIST) |
| Authorized Official Contact | 8503806814 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald Alyn Macbeth Dmd, Llc 219 Devon Dr Birmingham AL 35209-4317 Ph: (850) 380-6814 | Ronald Alyn Macbeth Dmd, Llc 1045 Broadway Park, Suite 101 Birmingham AL 35209-3520 Ph: (850) 380-6814 |
| NPI Number | 1265946321 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 11/28/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265946321 | NPI | - | NPPES |
| 1255746608 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D6453 (Alabama) | Primary |
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