| Birmingham Eastern Family Dental Care | |
|
524 Red Lane Rd Suite F Birmingham AL 35215-8245 | |
| (205) 836-4044 | |
| (205) 836-4311 |
| Full Name | Birmingham Eastern Family Dental Care |
|---|---|
| Speciality | Clinic/center |
| Location | 524 Red Lane Rd, Birmingham, Alabama |
| Authorized Official Name and Position | Wilson Wright (PRESIDENT) |
| Authorized Official Contact | 2058364044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Birmingham Eastern Family Dental Care 524 Red Lane Rd Suite F Birmingham AL 35215-8245 Ph: (205) 836-4044 | Birmingham Eastern Family Dental Care 524 Red Lane Rd Suite F Birmingham AL 35215-8245 Ph: (205) 836-4044 |
| NPI Number | 1821243080 |
|---|---|
| Provider Enumeration Date | 12/01/2008 |
| Last Update Date | 10/06/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821243080 | NPI | - | NPPES |
| 182124308 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 3138 (Alabama) | Primary |
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