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Organization
ROBERT T UNDERWOOD DMD PC
Active
Organization
ROBERT T UNDERWOOD DMD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT UNDERWOOD (OWNER)
(205) 631-8066
Entity
Organization
Contact information
Practice address
1038 MOUNT OLIVE RD, GARDENDALE, AL 35071-3443
(205) 631-8066
(205) 631-8021
Mailing address
1038 MOUNT OLIVE RD, GARDENDALE, AL 35071-3443
(205) 631-8066
(205) 631-8021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4885
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009924885
—
AL
01
—
1841371929
NPI
AL
01
—
51096265
BLUE CROSS BLUE SHIELD OF AL
AL
Enumeration date
02/22/2016
Last updated
02/22/2016
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