Crestline Village Dentistry in Birmingham - Dentist
Crestline Village Dentistry - NPI 1174713895
Crestline Village Dentistry is a Dentist in Birmingham, Alabama. Crestline Village Dentistry practices all healthcare services and medical treatments related to Dentist. The NPI Number for Crestline Village Dentistry is 1174713895. The last update date is 2007-07-30.
Crestline Village Dentistry's current location address is 244 Country Club Park, Birmingham, Alabama. You can contact this provider via phone number 2058705700 and fax number 2058705699. The mailing address for Crestline Village Dentistry is 244 Country Club Park, Birmingham, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Crestline Village Dentistry |
|---|---|
| Address | 244 Country Club Park, Birmingham, Alabama |
| Phone Number | 2058705700 |
| Fax Number | 2058705699 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jones C Georgia |
| Credentials | D.M.D. |
| Telephone Number | 2058705700 |
NPI Number Detail
| NPI Number | 1174713895 |
|---|---|
| Provider Enumeration Date | 2007-07-30 |
| Last Updated Date | 2007-07-30 |
Provider Mailing Address Detail
| Address | 244 Country Club Park |
|---|---|
| City | Birmingham |
| State | Alabama (AL) |
| Post Code | 352134200 |
| Phone Number | 2058705700 |
| Fax Number | 2058705699 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 5014 |
|
Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5014 | AL | ALABAMA DENTAL LICENSE NU |
Post Comment/ Review Below
What is the unique identifier code issued to Crestline Village Dentistry by the Centers for Medicare & Medicaid Services (CMS)?
The Crestline Village Dentistry has been assigned the NPI (National Provider Identifier) 1174713895. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Crestline Village Dentistry is geographically located?
The Crestline Village Dentistry is physically situated at the following location: 244 Country Club Park, Birmingham, AL, 352134200.
What is the area of specialization for Crestline Village Dentistry, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Crestline Village Dentistry is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did Crestline Village Dentistry receive its 1174713895 assignment from the Centers for Medicare & Medicaid Services?
The Crestline Village Dentistry was assigned its 1174713895 on 2007-07-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Crestline Village Dentistry's information last updated?
The Crestline Village Dentistry's information was last updated on 2007-07-30.
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