Organization
BIRMINGHAM EMERGENCY DENTAL
Active
Other names
Birmingham Emergency Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRENNAN HANSEN DDS (OWNER)
(307) 315-7301
Entity
Organization
Contact information
Practice address
4616 MONTEVALLO RD STE 200, IRONDALE, AL 35210-3104
(307) 315-7301
Mailing address
4616 MONTEVALLO RD STE 200, IRONDALE, AL 35210-3104
(307) 315-7301
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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