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Contact Information

1917 DENTAL CLINIC
3220 5TH AVE S # 2022
BIRMINGHAM, AL35222-2309
 Phone: 205-975-9842
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for 1917 DENTAL CLINIC

NPI # 1093452633
LBN Legal business name 1917 DENTAL CLINIC
Authorized official JACQUISELYN STORY - (BUSINESS OFFICE DIRECTOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/16/2022
Last updated 05/17/2022 - About 4 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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