Dr Larry Gene Deep, DMD | |
4515 Southlake Pkwy, Suite 101, Birmingham, AL 35244-3317 | |
(205) 988-5656 | |
(205) 988-3972 |
Full Name | Dr Larry Gene Deep |
---|---|
Gender | Male |
Speciality | Dentist - General Practice |
Location | 4515 Southlake Pkwy, Birmingham, Alabama |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518981034 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | LN0 3410 (Alabama) | Primary |
Entity Name | Mccalla Family Dentistry Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043313281 PECOS PAC ID: 4284872011 Enrollment ID: O20180209002369 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Gene Deep, DMD 4515 Southlake Pkwy, Suite 101, Birmingham, AL 35244-3317 Ph: (205) 988-5656 | Dr Larry Gene Deep, DMD 4515 Southlake Pkwy, Suite 101, Birmingham, AL 35244-3317 Ph: (205) 988-5656 |
Van Thanh Tran, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 631 Bessemer Super Highway, Birmingham, AL 35228 Phone: 205-933-9110 | |
Dr. Ryan Chase Seeley, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 7th Ave S, Birmingham, AL 35233 Phone: 205-934-4507 | |
Aissar N Sahori, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1919 7th Ave S, Birmingham, AL 35233 Phone: 205-934-3387 | |
Donald Guy Rosenstiel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1600 Deo Dara Dr, Birmingham, AL 35226 Phone: 205-979-8655 | |
Dr. Victor F. Kyatt Iii, Dentist Medicare: Not Enrolled in Medicare Practice Location: 2045 Brookwood Medical Ctr Dr, Suite 6, Birmingham, AL 35209 Phone: 205-871-1229 | |
Dr. Eric M. Blasingame, DDS, MS Dentist Medicare: Medicare Enrolled Practice Location: 1919 7th Ave S, Birmingham, AL 35233 Phone: 205-934-4551 Fax: 205-547-0486 | |
Dr. Alvin Willis Stevens Jr., D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 400 Century Park S, Suite 200, Birmingham, AL 35226 Phone: 205-822-3222 Fax: 205-822-3504 |