Individual
DR. CARL ARTHUR HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15 12TH AVE NE, ARAB, AL 35016-5403
(256) 586-1330
(256) 586-1329
Mailing address
PO BOX 586, ARAB, AL 35016-0586
(256) 586-1330
(256) 586-1329
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3859
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009998930
—
AL
01
—
0121721
BC/BS OF TN PROVIDER NO.
AL
01
—
4348602
AETNA PROVIDER NO.
AL
01
—
510-93552
BC/BS OF AL PROVIDER NO.
AL
01
—
7102000000AL
BC/BS OF MI PROVIDER NO
AL
01
—
848340
UNITED CONCORDIA PROVIDER
AL
01
—
AL3859
MUTUAL OF OMAHA
AL
Enumeration date
05/27/2006
Last updated
04/20/2011
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