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Organization
DENTAL ASSOCIATES OF TUSCALOOSA LLC
Active
Organization
DENTAL ASSOCIATES OF TUSCALOOSA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY ANDREW FIKES DMD MAGD (OWNER DENTIST)
(205) 345-7755
Entity
Organization
Contact information
Practice address
217 MCFARLAND CIRCLE NORTH, TUSCALOOSA, AL 34506
(205) 345-7755
(205) 343-9075
Mailing address
217 MCFARLAND CIRCLE NORTH, TUSCALOOSA, AL 34506
(205) 345-7755
(205) 343-9075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3162
AL
122300000X
Dentist
Primary
5177
AL
1223G0001X
General Practice Dentistry
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51506076
BLUE CROSS BLUE SHIELD
AL
01
—
51526480
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/03/2006
Last updated
09/11/2025
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