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Organization
T. COOPER COLQUITT, DDS, MSD, PC
Active
Organization
T. COOPER COLQUITT, DDS, MSD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRI COOPER COLQUITT DDS, MSD (PRESIDENT/PERIODONTIST)
(205) 785-7901
Entity
Organization
Contact information
Practice address
401 TUSCALOOSA AVE SW, SUITE 210, BIRMINGHAM, AL 35211-1416
(205) 785-7901
(205) 785-7904
Mailing address
401 TUSCALOOSA AVE SW, SUITE 210, BIRMINGHAM, AL 35211-1416
(205) 785-7901
(205) 785-7904
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
5033
AL
Other
Enumeration date
10/16/2006
Last updated
08/22/2020
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