Organization
JEBELES ENDODONTICS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA R COOKE (OFFICE MANAGER)
(205) 980-8777
Entity
Organization
Contact information
Practice address
4647 HIGHWAY 280 STE E, BIRMINGHAM, AL 35242-5032
(205) 980-8777
(205) 408-2965
Mailing address
4647 HIGHWAY 280 STE E, BIRMINGHAM, AL 35242-5032
(120) 598-0877
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/22/2021
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