Individual
OGDEN DEATON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5500 1ST AVE S, BIRMINGHAM, AL 35212-2518
(205) 592-2255
Mailing address
5500 1ST AVE S, BIRMINGHAM, AL 35212-2518
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-0007025-C1
AL
Other
Enumeration date
12/02/2021
Last updated
01/14/2025
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