University Of Alabama Health Services Foundation Pc | |
1 Inverness Center Pkwy Ste 200 Birmingham AL 35242-4865 | |
(205) 776-0599 | |
Not Available |
Full Name | University Of Alabama Health Services Foundation Pc |
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Speciality | Dentist |
Location | 1 Inverness Center Pkwy Ste 200, Birmingham, Alabama |
Authorized Official Name and Position | Thomas Mcavoy (ASSOCIATE VP, CORPORATE ADMIN SVCS) |
Authorized Official Contact | 2057319399 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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University Of Alabama Health Services Foundation Pc Dept 8454 Po Box 11407 C/o Oral Surgery At Inverness Birmingham AL 35246-8454 Ph: (205) 558-2500 | University Of Alabama Health Services Foundation Pc 1 Inverness Center Pkwy Ste 200 Birmingham AL 35242-4865 Ph: (205) 776-0599 |
NPI Number | 1720761554 |
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Provider Enumeration Date | 08/09/2023 |
Last Update Date | 08/09/2023 |
Medicare PECOS PAC ID | 1951213107 |
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Medicare Enrollment ID | O20231219000148 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720761554 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
Provider Name | Patrick J Louis |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1124096003 PECOS PAC ID: 1153399316 Enrollment ID: I20040924000386 |
Provider Name | Anthony Morlandt |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1649473638 PECOS PAC ID: 5395998702 Enrollment ID: I20140121001070 |
Provider Name | Yedeh Ying |
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Provider Type | Practitioner - Maxillofacial Surgery |
Provider Identifiers | NPI Number: 1508028002 PECOS PAC ID: 5294999264 Enrollment ID: I20160725003099 |
Provider Name | Brian Emory Kinard |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1184980195 PECOS PAC ID: 1951632231 Enrollment ID: I20191017002111 |
Provider Name | Jay Ponto |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1568845949 PECOS PAC ID: 0042595720 Enrollment ID: I20230913002080 |
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