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Individual

DR. PHILLIP ANTHONY MITCHELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D, M.D.

Contact information

Practice address
5511 HIGHWAY 280, SUITE 118, BIRMINGHAM, AL 35242-6585
(205) 980-9000
(205) 980-1399
Mailing address
5511 HIGHWAY 280, SUITE 118, BIRMINGHAM, AL 35242-6585
(205) 980-9000
(205) 980-1399

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
03787
AL
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
17041
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06576
BCBS # OF AL
AL
Enumeration date
07/27/2006
Last updated
09/11/2025
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