Individual
DR. THOMAS GANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DENTIST
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1015
(205) 930-1448
Mailing address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1015
(205) 930-1448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3332
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
113331
—
AL
05
—
114370
—
AL
01
—
510-49794
BLUE CROSS BLUE SHIELD
AL
01
—
510-49796
BLUE CROSS BLUE SHIELD
AL
01
—
510-49797
BLUE CROSS BLUE SHIELD
AL
01
—
510-49798
BLUE CROSS BLUE SHIELD
AL
Enumeration date
03/23/2007
Last updated
01/05/2011
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