Eduardo Gentry Gonzalez in Birmingham - General Practice

Eduardo Gentry Gonzalez - NPI 1790883155

Eduardo Gentry Gonzalez is a General Practice in Birmingham, Alabama. Eduardo Gentry Gonzalez practices all healthcare services and medical treatments related to General Practice. The NPI Number for Eduardo Gentry Gonzalez is 1790883155. The last update date is 2008-06-30.

Eduardo Gentry Gonzalez's current location address is 2633 Valleydale Rd, Birmingham, Alabama. You can contact this provider via phone number 2059917797 and fax number 2059959994. The mailing address for Eduardo Gentry Gonzalez is 2633 Valleydale Rd, Birmingham, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Eduardo Gentry Gonzalez
Address 2633 Valleydale Rd, Birmingham, Alabama
Phone Number 2059917797
Fax Number 2059959994
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1790883155
Provider Enumeration Date 2006-09-20
Last Updated Date 2008-06-30

Provider Mailing Address Detail

Address 2633 Valleydale Rd
City Birmingham
State Alabama (AL)
Post Code 352442714
Phone Number 2059917797
Fax Number 2059959994

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 4983
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
31965 AL BLUE CROSS BLUE SHIELD

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FAQs about Eduardo Gentry Gonzalez

What is the unique 10-digit identification code assigned to Eduardo Gentry Gonzalez by the Centers for Medicare & Medicaid Services?

The Eduardo Gentry Gonzalez has been issued the NPI (National Provider Identifier) 1790883155, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Eduardo Gentry Gonzalez's facilities are geographically located?

The facilities of Eduardo Gentry Gonzalez are physically situated at the following location: 2633 Valleydale Rd, Birmingham, AL, 352442714.

What is Eduardo Gentry Gonzalez's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Eduardo Gentry Gonzalez is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Eduardo Gentry Gonzalez receive its 1790883155 assignment from the Centers for Medicare & Medicaid Services?

The Eduardo Gentry Gonzalez was assigned its 1790883155 by the Centers for Medicare & Medicaid Services on 2006-09-20.

As of what date were the Eduardo Gentry Gonzalez's details last updated?

The information pertaining to the Eduardo Gentry Gonzalez, including its address, specialty, and other details, was most recently updated on 2008-06-30.

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