# DENTAL WELLNESS CENTER OF BIRMINGHAM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437602281
- **Authorized official:** DR. CHARLESIA MCLIN DMD (DENTIST)
- **Authorized official phone:** (205) 323-0454

## Contact information

- **Practice address:** 2001 PARK PL, SUITE 835, BIRMINGHAM, AL 35203-2735
- **Practice address phone:** (205) 323-0454
- **Practice address fax:** (205) 323-0458
- **Mailing address:** 2001 PARK PL, SUITE 835, BIRMINGHAM, AL 35203-2735
- **Mailing address phone:** (205) 323-0454
- **Mailing address fax:** (205) 323-0458

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | 6130 | AL | Yes |

## Other

- **Enumeration date:** 07/28/2016
- **Last updated:** 07/28/2016