Individual
DR. BRANDON PENNINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4165 WINSTON WAY, BIRMINGHAM, AL 35213-3954
(205) 253-1503
Mailing address
4165 WINSTON WAY, BIRMINGHAM, AL 35213-3954
(205) 253-1503
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2015
Last updated
06/23/2015
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