Individual
JERRY ANDREW FIKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD MAGD
Contact information
Practice address
217 MCFARLAND CIRCLE NORTH, TUSCALOOSA, AL 35406
(205) 345-7755
(205) 343-9075
Mailing address
217 MCFARLAND CIRCLE NORTH, TUSCALOOSA, AL 35406
(205) 345-7755
(205) 343-9075
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3162
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51506076
BLUE CROSS BLUE SHIELD
AL
Enumeration date
10/17/2006
Last updated
07/08/2007
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