Individual
DR. TERI DIANNE CHAFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D., M.P.H.
Contact information
Practice address
1400 6TH AVE S, DENTAL HEALTH SERVICES, BIRMINGHAM, AL 35233-1502
(205) 930-1422
(205) 930-1448
Mailing address
1400 6TH AVE S, DENTAL HEALTH SERVICES, BIRMINGHAM, AL 35233-1502
(205) 930-1422
(205) 930-1448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
LNO 4771
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009934455
—
AL
05
—
009941385
—
AL
05
—
009941395
—
AL
05
—
009941405
—
AL
01
—
51513226CHA
BC/BS OF ALABAMA
AL
01
—
51519839CHA
BC/BS OF ALABAMA
AL
01
—
51519941CHA
BC/BS OF ALABAMA
AL
01
—
51519943CHA
BC/BS OF ALABAMA
AL
Enumeration date
07/08/2005
Last updated
08/16/2007
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