Organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Active
Parent organization
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Other names
UAB Dentistry Dothan
Organization subpart
Yes
Provider details
NPI number
Legal business name
UNIVERSITY OF ALABAMA AT BIRMINGHAM
Authorized official
JACQUISELYN STORY (DIRECTOR BUSINESS OFFICE)
(205) 934-5088
Entity
Organization
Contact information
Practice address
2826 ROSS CLARK CIR STE 305, DOTHAN, AL 36301-2017
(334) 305-3290
(334) 305-3310
Mailing address
2826 ROSS CLARK CIR STE 305, DOTHAN, AL 36301-2017
(334) 305-3290
(334) 305-3310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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