| T. Cooper Colquitt, Dds, Msd, Pc | |
|
401 Tuscaloosa Ave Sw Suite 210 Birmingham AL 35211-1416 | |
| (205) 785-7901 | |
| (205) 785-7904 |
| Full Name | T. Cooper Colquitt, Dds, Msd, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 401 Tuscaloosa Ave Sw, Birmingham, Alabama |
| Authorized Official Name and Position | Terri Cooper Colquitt (PRESIDENT/PERIODONTIST) |
| Authorized Official Contact | 2057857901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| T. Cooper Colquitt, Dds, Msd, Pc 401 Tuscaloosa Ave Sw Suite 210 Birmingham AL 35211-1416 Ph: (205) 785-7901 | T. Cooper Colquitt, Dds, Msd, Pc 401 Tuscaloosa Ave Sw Suite 210 Birmingham AL 35211-1416 Ph: (205) 785-7901 |
| NPI Number | 1376623280 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376623280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 5033 (Alabama) | Primary |
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