Individual
PAUL J DIRKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5811 JACK SPRINGS ROAD, ATMORE, AL 36502
(251) 368-8630
(251) 368-0832
Mailing address
137 BROADMOOR DRIVE, DAPHNE, AL 36526
(251) 626-0638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5314C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
631900008
—
AL
Enumeration date
08/31/2006
Last updated
03/29/2013
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