| Southern Dental Birmingham, Llc | |
|
4960 Valleydale Rd Ste 100 Birmingham AL 35242-4613 | |
| (205) 991-2433 | |
| (205) 380-0623 |
| Full Name | Southern Dental Birmingham, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4960 Valleydale Rd, Birmingham, Alabama |
| Authorized Official Name and Position | James Drayton Smith (OWNER) |
| Authorized Official Contact | 2059912433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Dental Birmingham, Llc 4960 Valleydale Rd Ste 100 Birmingham AL 35242-4613 Ph: (205) 991-2433 | Southern Dental Birmingham, Llc 4960 Valleydale Rd Ste 100 Birmingham AL 35242-4613 Ph: (205) 991-2433 |
| NPI Number | 1417196551 |
|---|---|
| Provider Enumeration Date | 02/12/2009 |
| Last Update Date | 12/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417196551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5024 (Alabama) | Primary |
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