Brett Maddux in Birmingham - Periodontics

Brett Maddux - NPI 1134280712

Brett Maddux is a Periodontics in Birmingham, Alabama. Brett Maddux practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Brett Maddux is 1134280712. The last update date is 2007-07-08.

Brett Maddux's current location address is 3240 Edwards Lake Pkwy Ste 200, Birmingham, Alabama. You can contact this provider via phone number 2056611234 and fax number 2056610579. The mailing address for Brett Maddux is 3240 Edwards Lake Pkwy Ste 200, Birmingham, Alabama. To know further, please read the information below!

Provider Profile Detail

Provider Name Brett Maddux
Address 3240 Edwards Lake Pkwy Ste 200, Birmingham, Alabama
Phone Number 2056611234
Fax Number 2056610579
Sole Proprietor Y
Credentials DMD

NPI Number Detail

NPI Number 1134280712
Provider Enumeration Date 2006-12-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 3240 Edwards Lake Pkwy Ste 200
City Birmingham
State Alabama (AL)
Post Code 352353128
Phone Number 2056611234
Fax Number 2056610579

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Licence No 4803
Definition:
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure

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FAQs about Brett Maddux

What is the unique 10-digit identification code assigned to Brett Maddux by the Centers for Medicare & Medicaid Services?

The Brett Maddux has been issued the NPI (National Provider Identifier) 1134280712, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Brett Maddux is physically located?

The Brett Maddux is physically situated at the following address: 3240 Edwards Lake Pkwy Ste 200, Birmingham, AL, 352353128.

What is the area of specialization for Brett Maddux, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Brett Maddux is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.

On what date was the 1134280712 assigned to Brett Maddux?

The Brett Maddux was issued its 1134280712 on 2006-12-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Brett Maddux, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Brett Maddux, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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