| Univiversity Oral And Facial Surgery, P.c. | |
|
651 Helen Keller Blvd Tuscaloosa AL 35404-2983 | |
| (205) 556-2323 | |
| (205) 556-2341 |
| Full Name | Univiversity Oral And Facial Surgery, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 651 Helen Keller Blvd, Tuscaloosa, Alabama |
| Authorized Official Name and Position | Walter Ronald Mcilwain (PRESIDENT) |
| Authorized Official Contact | 2055562323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Univiversity Oral And Facial Surgery, P.c. 651 Helen Keller Blvd Tuscaloosa AL 35404-2983 Ph: (205) 556-2323 | Univiversity Oral And Facial Surgery, P.c. 651 Helen Keller Blvd Tuscaloosa AL 35404-2983 Ph: (205) 556-2323 |
| NPI Number | 1578634515 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 04/01/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578634515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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